Collections Specialist, Specialty- Evernorth
Remote
Core
Manage billing and collections activities to support timely and accurate reimbursement for home infusion and specialty pharmacy sectors.
Role type
Collections Specialist
Builds
Reimbursement outcomes and payment recovery
Domain
Healthcare (Home Infusion & Specialty Pharmacy)
Required skills
Medical billing and claims processing, Claim denial investigation, Payer appeals preparation, Accounts receivable monitoring, EOB interpretation, Claim reprocessing, Microsoft 365 proficiency
Preferred skills
ICD-10, CPT, and HCPCS coding knowledge, Medicare billing guidelines, Payer contract review, HCN360 or CPR+ software experience