What are the responsibilities and job description for the Healthcare Collections Lead - Evernorth - Remote position at The Cigna Group?
About the Role
CarepathRx is seeking a Healthcare Collections Lead to support our Revenue Cycle team. This role is responsible for overseeing collection activities, resolving outstanding accounts, supporting staff training, and serving as a subject matter expert for billing and payer-related issues.
Key Responsibilities
- Manage insurance and patient account collections to ensure timely and accurate payments.
- Review and resolve outstanding balances, denials, and unpaid accounts.
- Monitor high-dollar accounts and identify trends impacting revenue cycle performance.
- Assist with account reconciliations, adjustments, and batch posting activities.
- Serve as a subject matter expert and provide guidance to collection staff.
- Train and support new and existing team members.
- Collaborate with billing, operations, and leadership teams to meet departmental goals.
- Lead special projects and ensure timely completion of assigned initiatives.
- Respond to patient, payer, and internal billing inquiries.
Qualifications
- Associate degree preferred.
- Experience in medical collections, revenue cycle, or medical billing preferred.
- Knowledge of ICD-10, HCPCS, medical terminology, third-party payer guidelines, and reimbursement practices preferred.
- Proficiency with Microsoft Office applications.
- Strong communication, customer service, organizational, and problem-solving skills.
- Ability to manage multiple priorities while maintaining attention to detail.
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. Drug-free work environment. Must be eligible to work in this country.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.