Collections Specialist II, Home Infusion - Evernorth - Remote
Pennsylvania Work at Homeremotemid$42K – $62K
Posted today · via Workday
About this role
Job Summary The Collections Specialist II is responsible for managing insurance collections, resolving claim denials, processing appeals, and ensuring accurate and timely reimbursement. This role requires experience in medical billing, payer guidelines, and accounts receivable management, with a focus on identifying and resolving payment issues. Knowledge of home infusion and healthcare reimbursement processes is preferred. Key Responsibilities Manage third-party billing and collections activities. Investigate and resolve claim denials, rejections, and underpayments. Submit payer appeals and monitor timely follow-up. Review claims, EOBs, and patient accounts to determine appropriate next steps. Correct and reprocess claims for reimbursement when necessary.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: fiber, teams
2
Level fit
This role is mid-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
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Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
fiberteams
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