[Remote] Payment Specialist- Evernorth
Note: The job is a remote job and is open to candidates in USA. Evernorth Health Services is dedicated to improving the health and vitality of those they serve. As a Payment Specialist, you will ensure accurate and timely posting of payments, analyze payment activity, and contribute to efficient revenue cycle operations.
Responsibilities
- Apply payments and contractual adjustments accurately and in accordance with departmental procedures
- Process patient and insurance refunds for overpayments
- Identify payer trends and communicate findings to leadership
- Review contracts, analyze per‑diem vs. drug rate structures, and ensure appropriate claim adjustments
- Forward paper denials and remittance documentation to A/R teams for follow‑up
- Research discrepancies and resolve issues to support accurate reimbursement
- Meet quality assurance expectations and productivity benchmarks
- Perform additional duties as assigned to support payment operations
Skills
- One year of experience in billing, cash posting, or collections, preferably in healthcare
- Proficiency with computers and Microsoft Office
- Knowledge of medical terminology
- Ability to work effectively in a fast‑paced, multitasking environment
- Experience with CPR+ or Caretend (preferred)
- Experience with HCPCS, ICD‑10, and medical billing practices
- Familiarity with third‑party payer guidelines and reimbursement practices
- Strong communication, organization, and problem‑solving skills
- Experience in patient accounting systems or revenue cycle operations
Benefits
- Medical
- Vision
- Dental
- 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
Company Overview
Company H1B Sponsorship