Financial Assistance Specialist- Evernorth

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.

Responsibilities

• 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.

Required 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.

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 17.75 - 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.

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, 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 The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, 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 related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, 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@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group 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 all federal, state and local ordinances.