Job Description

Billing Team Lead

Join a team that believes exceptional care begins behind the scenes. As Billing Team Lead, you will help patients access the treatments they need by leading accurate, timely, and high-quality billing operations. You'll guide a dedicated team, support process improvements, and play a key role in ensuring we deliver a seamless billing experience with compassion and expertise.

Responsibilities:

• Lead billing accuracy and performance by ensuring claims are submitted correctly and on time, reducing denials and improving reimbursement outcomes.
• Serve as the primary resource for the team, offering coaching and guidance to resolve complex billing, enrollment, and payor-related issues.
• Elevate team capability by sharing updates on contract changes, system enhancements, and process improvements that strengthen billing quality.
• Drive continuous improvement by reviewing productivity, quality benchmarks, and trends; identifying opportunities to streamline workflows and enhance results.
• Communicate effectively with leaders through clear reporting of dashboards, analytics, and billing trends that inform operational decisions.
• Foster connection and clarity by conducting team meetings, sharing organizational updates, and ensuring alignment with department goals.
• Maintain compliance excellence by ensuring all billing processes meet regulatory, accreditation, and internal standards.

Qualifications (Required)

• High school diploma or GED.
• At least 1 year of leadership experience in a team-oriented setting.
• At least 2 years of experience related to medical billing and coding.
• Strong customer service skills with the ability to communicate clearly with patients, payors, and external partners.
• Experience processing major medical and pharmacy claims.
• Understanding of third-party payor guidelines and reimbursement practices.
• Ability to protect confidential information and handle sensitive data responsibly.
• Strong organizational, problem-solving, and time-management abilities.
• Ability to work independently while contributing to a collaborative team culture.
• Proficiency with Microsoft Office with strong proficiency in MS Excel.

Qualifications (Preferred)

• Experience in healthcare, home infusion, or insurance-related environments.
• Familiarity with medical terminology and coding systems such as ICD-10, CPT, and HCPCS.
• Knowledge of Medicare billing requirements, including DMEMAC.
• Experience using billing or clinical documentation systems such as HCN 360, CPR+, or CareTend.
• Associate degree or higher in a related field.

As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization. Our team 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 connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

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.

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.

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.

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