Evernorth Health Services · 1 day ago
Collections Specialist- Evernorth- Remote
United States
Full-time
Remote
Entry Level
$17.75/hr - $26/hr
1+ years expEvernorth Health Services is dedicated to improving the health and vitality of those they serve. They are seeking a Collections Specialist to manage billing and collections, ensuring accurate claim processing and timely reimbursements while enhancing financial services for patients and payers.
Employee BenefitsHealth Care
Responsibilities
Manage third-party billing and collections, ensuring timely and accurate processing of claims and appeals
Investigate denials and rejections to identify root causes and recommend actions that prevent repeat issues
Review claim processing to confirm proper payment and pursue corrective steps when discrepancies arise
Process payer appeal requests within required timeframes and track outcomes
Contact payers or patients, as appropriate, to resolve outstanding issues
Document all collections activity in patient notes and accounts receivable reports
Evaluate payer guidelines to determine whether claims should be corrected, refiled, or appealed
Interpret EOBs to validate payment accuracy and guide next steps
Identify and correct claim errors to support full reimbursement
Support continuous improvement by identifying workflow enhancements that strengthen financial performance
Qualification
Required
High school diploma or equivalent
Minimum 1+ years of experience in collections, medical billing, or revenue cycle operations
Ability to read and interpret EOBs and understand payer reimbursement practices
Strong communication, organizational, and problem-solving skills
Proficiency with Microsoft 365
Preferred
Experience with ICD-10, CPT-4, HCPCS, and Medicare billing
Knowledge of home infusion, reimbursement guidelines, and third-party payer rules
Familiarity with HCN360, CPR+, or similar systems
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 StageTotal Funding
$0.85MKey Investors
Federal Home Loan Bank of Boston
2025-12-19Grant· $0.85M
Leadership Team
Eric Palmer
Chief Executive Officer
Jon Salon
CEO/ President, MDLIVE
Recent News
2025-12-20
Morningstar.com
2025-10-27
Company data provided by crunchbase