Medical Collections Specialist - Home Infusion Billing

Cigna Healthcare; United States; Remote; USD 35,000 - 52,000; Full time

Job summary

CarepathRx is hiring a Medical Collections Specialist to help resolve insurance claims and improve reimbursement for patients, payers, and care teams. The role emphasizes attention to detail, curiosity, and growth in revenue cycle work, with home infusion billing experience strongly preferred.

The position supports a Monday–Friday 8:00 a.m.–4:30 p.m. ET schedule and offers opportunities to contribute to process improvements and stronger collections in a collaborative team.

Qualifications

• Must have 1+ year experience in medical collections, medical billing, revenue cycle, healthcare administration, or related role.
• Experience with insurance claims, denials, appeals, payer follow-up, or account resolution.
• Ability to read and interpret explanation of benefits (EOB) and understand claim activity.
• Knowledge of insurance policies, payer guidelines, and reimbursement practices.

Responsibilities

• Support reimbursement outcomes by collecting on insurance claims and moving unpaid accounts toward timely resolution.
• Research denials, rejections, and payment issues to identify root causes and prevent repeats.
• Submit payer appeals within required time frames with clear documentation.
• Review patient account details, claim status, and explanations of benefits to determine next actions.
• Investigate claims and payer contracts to confirm payment accuracy and identify reimbursement gaps.
• Communicate with patients, payers, outside agencies, and internal partners professionally and timely.
• Document collection activity and outcomes in patient notes and AR reports.
• Track account trends and share insights to improve processes and revenue cycle results.

Skills

Medical collections

Medical billing

Revenue cycle

Healthcare administration

Customer service

Education

High school diploma or GED

Associate or bachelor’s degree in healthcare admin or related field

Job description

CarepathRx is hiring a Medical Collections Specialist to help resolve insurance claims and improve reimbursement for patients, payers, and care teams. The role emphasizes attention to detail, curiosity, and growth in revenue cycle work, with home infusion billing experience strongly preferred.

The position supports a Monday–Friday 8:00 a.m.–4:30 p.m. ET schedule and offers opportunities to contribute to process improvements and stronger collections in a collaborative team.