Job Description: 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 Document collection efforts and actions taken on accounts Communicate with payers, patients, and internal teams to resolve outstanding balances Maintain quality, productivity, and compliance standards Perform other duties as assigned Support CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization Requirements: High school diploma or equivalent 3+ years of medical collections, billing, or healthcare revenue cycle experience Knowledge of insurance reimbursement, claim processing, and payer guidelines Understanding of ICD-10, CPT, HCPCS, and medical terminology preferred Home infusion, Medicare, or DME billing experience preferred Strong problem-solving, organizational, and communication skills Ability to work independently, manage multiple priorities, and maintain attention to detail Proficiency with Microsoft 365 (Outlook, Teams, Excel) For home working, internet connection through a cable broadband or fiber optic internet service provider with at least 10Mbps download/5Mbps upload Benefits: Annual bonus plan eligibility Medical insurance Vision insurance Dental insurance Well-being and behavioral health programs 401(k) Company-paid life insurance Tuition reimbursement Minimum of 18 days of paid time off per year Paid holidays Leaves of absence Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home working