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Payment Specialist
Location
United States
Posted
10 days ago
Salary
$18 - $26 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Payment Specialist
The Cigna Group
Role Description 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. - 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. 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). Requirements - 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. Benefits - Hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location. - Eligible to participate in an annual bonus plan. - Comprehensive range of benefits, with a focus on supporting your whole health. - Health-related benefits including medical, vision, dental, and 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, and leaves of absence. Company Description 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.
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