PBM Billing Specialist Senior
About the role
This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health.
Responsibilities
- Maintains billing system database.
- Identifies, analyzes and reconciles discrepancies in data.
- Posts to sub ledgers.
- Coordinates account eligibility with Membership areas and provides billing information to internal and external contacts and first line collections.
- Professional and timely oral or written communication to internal and external customers.
- Fully proficient with daily tasks and is able to handle more complex billing situations with minimal guidance and provide recommendations for decision making.
Qualifications
- High school diploma or equivalent and minimum of 3 years billing and collections experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills
- PBM Billing experience.
- Proficient with Microsoft Excel.
- AS in accounting.
Pay
$19.22/hour - $34.90/hour for candidates working in person or virtually in Columbus, OH; Cleveland, OH; or Virginia.
Benefits
In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).