Senior Enrollment/Billing Representative, Home Infusion

The Cigna Group

. Actively manage pharmacy claim billing, collections, and follow-up activities .

Posted 10/2/2026full-timeRemote • United StatesSenior💰 $20 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pharmacy claim billing, collections, and reimbursement processes, with a strong focus on accuracy and compliance. Proficient in utilizing electronic health and billing systems to enhance operational efficiency and financial performance.

Highest-signal resume keywords

Pharmacy BillingClaims ManagementPayer Reimbursement ProcessesICD-10, CPT, HCPCS KnowledgeMicrosoft 365 Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingCollectionsAccounts Receivable ManagementClaim Denial ResolutionEOB InterpretationBilling Error CorrectionPayer Appeals SubmissionRevenue Cycle OperationsHome Infusion BillingPharmacy Part D Claims

Soft Skills

Strong CommunicationOrganizational SkillsProblem-Solving SkillsCustomer-Focused Mindset

Tools & Technologies

HCN360CPR+Electronic Health SystemsBilling Platforms

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Healthcare ClaimsThird-Party Payer RulesMedicare Billing GuidelinesCommercial InsuranceMedicaid

About the role

Key responsibilities & impact

Actively manage pharmacy claim billing, collections, and follow-up activities
Resolve denied, rejected, or underpaid claims by identifying root causes and applying corrective strategies
Interpret explanations of benefits (EOBs) to validate reimbursement accuracy and determine next steps
Monitor accounts receivable and manage outstanding balances through payer or patient outreach
Prepare, submit, and track payer appeals within required timeframes
Evaluate payer rules and reimbursement guidelines to determine whether claims should be corrected, refiled, or appealed
Identify and correct billing or submission errors affecting reimbursement
Maintain timely documentation of collection activity in patient notes and reporting tools
Partner with teammates and leaders to identify workflow improvements that strengthen efficiency, compliance, and financial performance
Support CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization in delivering specialty pharmacy and infusion services

Requirements

What you’ll need

High school diploma or GED
Minimum of 2 years of experience in collections, A/R, medical billing, healthcare claims, pharmacy billing, or insurance-related collections
Working knowledge of payer reimbursement processes including commercial, Medicare, Medicaid, self-pay, and third-party plans
Ability to read and interpret explanations of benefits (EOBs) and billing correspondence
Strong communication, organization, and problem-solving skills with a customer-focused mindset
Proficiency in Microsoft 365 and electronic health or billing systems
Experience with revenue cycle operations, pharmacy billing, or collections preferred
Experience working with ICD-10, CPT, HCPCS, and Medicare billing guidelines preferred
Knowledge of pharmacy Part D claims, CE2000, home infusion billing, and third-party payer rules preferred
Experience using HCN360, CPR+, or comparable billing platforms preferred
For home work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

Benefits

Comp & perks

Annual bonus plan eligibility
Medical, vision, and dental benefits starting on day one
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Remote work arrangement
Cable broadband or fiber optic internet requirement for home working