Payment Specialist- Evernorth
As a Payment Specialist, you will help ensure accurate, timely posting of payments and adjustments while supporting the financial integrity of the organization. You will analyze payment activity, identify trends, resolve discrepancies, and contribute to efficient revenue 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 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.
Required Qualifications
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).
Preferred Qualifications
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. 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 - 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 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, paid holidays, and leaves of absence. 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 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 provide application updates or accept resumes. 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.