Job Summary

Cigna, a global health services organization committed to improving the health, well-being, and peace of mind of those we serve, is seeking a Remote Billing & Claims Representative to support Accredo Specialty Pharmacy, a leader in specialty medication management.

In this role, you will play a critical part in ensuring accurate billing, claims processing, and reimbursement for specialty pharmacy services. You will serve as a key liaison between patients, insurance providers, and internal teams, ensuring claims are handled efficiently, compliantly, and with a strong focus on customer satisfaction. This position is ideal for detail-oriented professionals who thrive in a fast-paced, regulated healthcare environment and are passionate about delivering exceptional service.

Key Responsibilities

• Process and submit medical and pharmacy claims accurately and in a timely manner

• Review billing data for completeness, accuracy, and compliance with payer requirements

• Investigate, analyze, and resolve denied or rejected claims, including initiating appeals when necessary

• Communicate with insurance carriers, patients, and internal departments to resolve billing and claims issues

• Verify patient insurance eligibility, benefits, and prior authorization requirements

• Maintain detailed documentation of claim activities in internal systems

• Ensure adherence to HIPAA, CMS, and other regulatory guidelines

• Meet productivity, quality, and compliance benchmarks established by Accredo and Cigna

• Provide excellent customer service while handling sensitive financial and health-related information

Required Skills and Qualifications

• Strong understanding of medical and/or pharmacy billing and claims processes

• Proficiency in navigating claims management and electronic health record (EHR) systems

• Excellent written and verbal communication skills

• High attention to detail with strong analytical and problem-solving abilities

• Ability to manage multiple tasks, prioritize effectively, and meet deadlines

• Comfort working independently in a remote environment

• Strong customer service mindset with a professional and empathetic approach

Experience

• Minimum of 1–3 years of experience in medical billing, insurance claims processing, or healthcare revenue cycle operations

• Experience in specialty pharmacy, healthcare payer systems, or managed care is strongly preferred

• Prior remote work experience is an advantage but not required

Working Hours

• Full-time position (40 hours per week)

• Standard business hours, typically Monday to Friday

• Occasional flexibility may be required to meet business needs

Knowledge, Skills, and Abilities

• Knowledge of healthcare reimbursement methodologies and payer guidelines

• Familiarity with ICD-10, CPT, and HCPCS coding concepts (preferred)

• Ability to interpret insurance policies and explanation of benefits (EOBs)

• Strong organizational skills with the ability to maintain confidentiality

• Technological aptitude and ability to quickly learn new systems and tools

• Ability to work collaboratively within cross-functional remote teams

Benefits

Cigna offers a comprehensive and competitive benefits package designed to support your health, financial security, and work-life balance, including:

• Medical, dental, and vision insurance

• Prescription drug coverage

• 401(k) retirement plan with company match

• Paid time off, holidays, and wellness days

• Employee assistance programs (EAP)

• Career development, training, and tuition assistance

• Wellness programs focused on physical, mental, and financial well-being

Why Join Cigna

At Cigna, you will be part of a purpose-driven organization that values diversity, inclusion, and innovation. Joining Accredo Specialty means contributing to life-changing therapies that help patients manage complex and chronic conditions. Cigna empowers its employees with growth opportunities, flexible work arrangements, and a culture that puts people first—both those we serve and those who work here.

How to Apply

Interested candidates are encouraged to apply online through the Cigna Careers portal. Please submit your updated resume highlighting relevant billing and claims experience. Qualified applicants may be contacted for further assessment and interviews.