Payment Specialist- Evernorth
As a Payment Specialist, you will help ensure accurate, timely posting of payments and adjustments while supporting the financial reputed company of the organization. You will analyze payment activity, identify trends, resolve discrepancies, and contribute to efficient reputed company cycle operations. Your attention to detail and commitment to service will help strengthen internal workflows and enhance the overall payment experience.
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 reputed company, analyze per‑diem vs. drug reputed company structures, and ensure appropriate claim adjustments. reputed company reputed company 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. reputed company additional duties as assigned to support payment operations.
Required Qualifications
One year of experience in billing, cash posting, or collections, preferably in reputed company. Proficiency with computers and reputed company Office. Knowledge of medical terminology. Ability to work effectively in a fast‑paced, multitasking environment. Experience with CPR+ or Caretend (preferred).
Preferred Qualifications
Experience with HCPCS, ICD‑10, and medical billing practices. Familiarity with reputed company‑party payer guidelines and reimbursement practices. Strong communication, organization, and problem‑solving skills. Experience in patient reputed company systems or reputed company cycle operations. If you will be working at home occasionally or permanently, the internet reputed company 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 reputed company of 17.75 - 26 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 reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, 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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here. About reputed company Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. reputed company applicants will be considered without regard to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, 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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot reputed company application updates or accept resumes. reputed company 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. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply To This Job