Evernorth Health Services · 1 month ago
Financial Assistance Specialist- Evernorth
United States
Full-time
Remote
Entry Level
$17.75/hr - $25/hr
1+ years expEvernorth Health Services is dedicated to improving the health and vitality of those they serve. The Financial Assistance Specialist will help patients access financial resources by coordinating assistance programs and resolving billing issues, ensuring accurate claims processing and maintaining compliant documentation.
HealthcareHuman ResourcesEmployee BenefitsHealth Care
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
Qualification
Required
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
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
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
Evernorth Health Services
Flexible and connected pharmacy, care and benefit solutions that move organizations and people forward.
10001+ employees
H1B Sponsorship
Evernorth Health Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (442)
2024 (335)
2023 (324)
Funding
Current Stage
Late StageLeadership Team
Peter Campbell
Information Protection Senior Director
Recent News
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2026-02-06
2026-01-13
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