[Hiring] Financial Assistance Specialist @The Cigna Group

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a Financial Assistance Specialist, you will help patients access the financial resources they need by coordinating copay and foundation assistance programs, supporting reimbursement activities, and resolving billing-related issues. You will play a key role in ensuring accurate claims processing, maintaining compliant documentation, and delivering a positive, solution-focused experience for patients, payers, and internal teams. • Identify billing trends and proactively address issues to support timely reimbursement. • Review and correct claims, reprocess submissions, and interpret EOBs to understand denials. • Communicate with payers, patients, and external partners as needed. • Document all collections activity in patient records and maintain accurate notes in aging and reconciliation reports. • Process payer appeals within required timeframes and ensure billing accuracy. • Investigate claim discrepancies and review reimbursement contracts to support resolution. • Meet quality, productivity, and compliance standards as defined by leadership. • Process approved adjustments, home infusion/nursing claims, patient updates, and insurance changes. • Review unpaid claims, identify root causes, and determine next steps such as refiling or appeals. • Support copay and foundation program enrollment and maintain updated financial assistance documentation. • Maintain confidentiality and professionalism when handling patient financial information. • Perform additional duties as assigned to support revenue cycle operations. Qualifications • High school diploma or GED. • One to three years of experience in medical billing, collections, or related healthcare financial roles. • Proficiency with Microsoft Office and ability to interpret billing codes and documentation. • Experience processing pharmacy claims. • Strong communication, customer service, and problem-solving skills. • Ability to manage multiple tasks with strong attention to detail and accuracy. Preferred Qualifications • Knowledge of copay and foundation assistance programs. • Understanding of insurance reimbursement, benefits, and payer guidelines. • Familiarity with ICD-9, CPT-4, HCPCS, and medical terminology. • Experience using systems such as HCN360 or CPR+. • Prior experience in home infusion billing or revenue cycle operations. Requirements If you will be working at home occasionally or permanently, the internet connection 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 rate of 17 - 25 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. Benefits At The Cigna Group, 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-related benefits including: • Medical, vision, and dental insurance • Well-being and behavioral health programs • 401(k) • Company paid life insurance • Tuition reimbursement • A minimum of 18 days of paid time off per year • Paid holidays For more details on our employee benefits programs, click here . Apply tot his job