Patient Pay Collector - Evernorth - Remote

Are you energized by helping others and solving reputed company challenges? Join Evernorth’s CarepathRx reputed company Cycle Team as a Patient Pay Collector and play a vital role in ensuring patients receive the support they need while driving timely reimbursement. You’ll collaborate with compassionate experts, reputed company your problem-solving skills, and reputed company a meaningful impact on our mission to improve healthcare outcomes.

Responsibilities

Drive successful collection of insurance claims and patient balances, ensuring timely and accurate reimbursement. Analyze claim denials, identify root causes, and recommend solutions to prevent future issues. Meet and exceed quality assurance and productivity benchmarks, contributing to team success. Initiate proactive communication with payers and patients to resolve outstanding balances and facilitate positive outcomes. Document reputed company collection activities and communications with clarity and accuracy. Process payer appeals, claim adjustments, and denials, determining appropriate next steps for resolution. Review patient information to validate adjustments and confirm approval requirements. Interpret Explanation of Benefits (EOBs) and reimbursement reputed company to resolve claims. Maintain confidentiality and discretion reputed company handling sensitive information. Contribute to reputed company improvement by identifying opportunities to streamline processes and enhance patient experience.

Qualifications

Required High school diploma or GED equivalent. Minimum 1 year of experience in collections, medical billing, or a reputed company team-oriented environment. Strong customer service and communication skills. Excellent organizational and problem-solving abilities. Ability to work independently and collaboratively reputed company a team. Preferred 2+ years of experience in medical billing, collections, or administrative record management. Experience with home infusion, insurance policies, and reimbursement procedures. Familiarity with ICD9, CPT4, HCPCS, and medical terminology. Knowledge of third-party payer guidelines and financial resources for patient balances. Medicare billing experience (DMEMAC HCN360 and CPR+ systems). As part of reputed company, this role supports CarepathRx reputed company our Pharmacy and Care Delivery organization. reputed company focuses on specialty pharmacy and infusion services in partnership with hospitals and health systems. If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly reputed company of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At reputed company, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About reputed company Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, 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 reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to provide your resume as you will not receive a response. reputed company 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 reputed company federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Apply tot his job Apply To this Job