Remote Audit Specialist II – Revenue Cycle

Cigna; United States; Remote; USD 37,000 - 55,000; Full time

Benefits offered by this job

Health benefits

401(k)

Tuition reimbursement

Paid time off

Life insurance

Job summary

The Cigna Group in the United States is seeking a skilled Revenue Cycle Specialist to support home infusion billing processes. You will prioritize tasks, complete payer audits, maintain guidelines knowledge, and assist with quality audits and SOP development.

The role emphasizes accuracy, timely task completion, and strong communication with payers and internal teams. Requirements include a high school diploma, proficiency with Microsoft Office, 3+ years in home infusion revenue cycle, and

Qualifications

• High School diploma or GED required.
• Proficiency in the Microsoft Office Suite.
• 3+ years of experience in home infusion revenue cycle.
• Strong knowledge of Federal and State billing guidelines.
• Working knowledge of basic medical terminology.
• Experience with ICD-10, CPT-4, HCPCS and Medicare billing preferred.

Responsibilities

• Prioritize and complete all assigned tasks.
• Complete payer audits in a timely manner before deadlines.
• Maintain knowledge of state and federal guidelines and payer requirements.
• Perform quarterly quality audit checks.
• Audit new employees until accuracy threshold is met.
• Perform claim denial audits.
• Assist with training on recurring errors found during quality audits.
• Assist in development of Standard Operating Procedures.
• Complete special projects as requested.
• Adhere to system-wide competencies/behaviors.

Skills

Microsoft Office proficiency

3+ years experience

Strong communication

Customer service orientation

Problem-solving skills

Multitasking & organization

Interpersonal skills

Attention to detail

CPR+ Software experience

ICD-10/CPT-4/HCPCS knowledge

Medicare billing knowledge (preferred)

Education

High School diploma or GED

Tools

CPR+ Software

Job description

The Cigna Group in the United States is seeking a skilled Revenue Cycle Specialist to support home infusion billing processes. You will prioritize tasks, complete payer audits, maintain guidelines knowledge, and assist with quality audits and SOP development.

The role emphasizes accuracy, timely task completion, and strong communication with payers and internal teams. Requirements include a high school diploma, proficiency with Microsoft Office, 3+ years in home infusion revenue cycle, and