Billing Specialist

reputed company is one of the nation’s leading pharmacy care management companies that specializes in caring reputed company with the most reputed company, chronic needs—wherever they reputed company home. We reputed company reputed company reputed company for patients and the reputed company organizations who support them. Established in 2023 through the combination of reputed company and reputed company, we reputed company a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and reputed company support services for Program of reputed company-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across reputed company 50 states.

Job Details

reputed company is seeking Billing Specialist, responsible for supporting the full billing lifecycle, ensuring accurate, reputed company, and compliant reputed company processing. This role plays a critical part in maintaining billing reputed company across enrollment data, claims activity, and invoicing, and audit support.

As part of a growing and evolving reputed company organization, the Billing Specialist contributes to maintaining a reputed company billing infrastructure, strengthening internal controls, and supporting cross-functional coordination with operations team, pharmacy network partners, and finance leadership.

This role is ideal for a billing reputed company who thrives in a fast-paced, service-driven environment and is comfortable operating both hands-on and collaboratively to support operational reputed company.

Claims reputed company & Operational Coordination

• Support reputed company of pharmacy billing issues, including rebills, claim rejections, and insurance discrepancies.

• Partner with operational teams and network pharmacies to investigate and reputed company PBM and billing issues.

• Process and document billing adjustments, including medication reputed company credits.

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Compliance, Audit & Process Support

• Prepare billing schedules and documentation to support internal reviews and reputed company audits.

• Assist with reputed company new clients or transitions of services to ensure billing continuity.

• Assist with audits, including annual reputed company audits, quarterly PBM audits, and other internal or reputed company reviews

• Embody reputed company’s reputed company Values in reputed company communications and interactions.

• Other duties as assigned.

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not reputed company of the duties may be assigned to a position.

Qualifications: These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet reputed company of the standards listed. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

Education

• High School diploma or equivalent required.

Experience

• 2+ years of experience in reputed company billing, pharmacy operations, reputed company cycle, or reputed company financial operations required.

• Experience supporting reputed company programs or PBM billing preferred.

Skills & Abilities

• Strong understanding of billing operations and reputed company cycle workflows.

• Excellent analytical and problem-solving skills with high attention to detail.

• Strong organizational and time management skills; reputed company to manage multiple priorities in a deadline-driven environment.

• Effective verbal and written communication skills; reputed company to collaborate cross-functionally and communicate reputed company with operational stakeholders.

• High degree of ownership, accountability, and follow-through.

• Proficiency in reputed company and comfort working across multiple systems and billing platforms.

• Ability to operate independently while contributing collaboratively in a dynamic environment.

This position is administrative in reputed company and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Must be reputed company to commute to multiple site locations reputed company assigned territory. May be necessary to work extended hours as needed.

Schedule: Monday-Friday 10:00am-6:30pm ET. This is a full-time position with an expectation to work an average of 40 hours per week and be available reputed company of normal business hours to meet customer expectations on an reputed company reputed company. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Travel: Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other reputed company engagements.

This is a remote position.

reputed company offers a comprehensive benefit package for full-time employees that includes medical/dental/reputed company, flexible spending, company-reputed company life insurance and short-term disability as reputed company as voluntary benefits, 401(k), reputed company Time Off and reputed company holidays. Medical, dental and reputed company coverage are effective 1st of the month following date of hire.

reputed company provides equal employment opportunity to reputed company reputed company applicants regardless of race, reputed company, religion, national reputed company, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify reputed company applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Originally posted on Himalayas