Collections Specialist, Home Infusion - Evernorth - Remote

The role of Collections Specialist (Enrollment & Billing Representative) at Evernorth involves improving reimbursement outcomes, resolving billing challenges, and strengthening patient accounts within the home infusion and patient billing sector. The position emphasizes teamwork, continuous growth, and making healthcare more accessible.

Location: Remote (US)

Salary: $17.75–$26/hourly

Responsibilities

• Drivetime and accurate reimbursement through billing and collections
• Investigate denials, identify root causes, and resolve issues
• Submit payer appeals within deadlines and improve approval rates
• Analyze accounts receivable and reduce payment delays
• Partner with payers, patients, and teams to resolve balances
• Document all activities, adjustments, and updates clearly
• Review claims to confirm correct reimbursement
• Correct and reprocess claims to optimize payment
• Interpret EOBs to guide next steps
• Improve processes to reduce denials
• Meet quality and productivity goals

Requirements

• High school diploma or equivalent
• 1+ years of experience with home infusion or specialty pharmacy medical billing/claims
• Strong customer service skills
• Problem-solving and critical thinking skills
• Clear communication skills
• Strong attention to detail
• Microsoft 365 proficiency
• Ability to work independently and on a team

Benefits

• Hourly rate of $17.75 - $26 depending on experience and location
• Eligible for annual bonus plan
• Comprehensive health benefits including medical, vision, dental, and well-being programs
• 401(k) plan
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days paid time off per year
• Paid holidays

Additional Information

• Work hours: Monday-Friday, 8:00am-4:30pm or 8:30am-5:00pm ET
• Internet connection must be via cable broadband or fiber optic with at least 10Mbps download/5Mbps upload speeds
• Role supports CarepathRx within Evernorth Health Services, focusing on specialty pharmacy and infusion services.
• The employer is committed to diversity and inclusion, and offers accommodations for applicants with disabilities.