PBM Billing Specialist Senior
Core
Assembling and maintaining documentation for billing purposes, reconciling data discrepancies, and managing sub-ledgers for pharmacy benefit management operations.
Role type
Senior PBM Billing Specialist
Builds
Billing records and data reconciliations for pharmacy benefit management
Domain
Healthcare / Pharmacy Benefit Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Billing and collections experience, Data analysis and reconciliation, Sub-ledger management, Account eligibility coordination, Microsoft Excel proficiency, Complex billing situation handling
Preferred skills
PBM Billing experience, Accounting Associate degree (AS)
Responsibilities
Maintains billing system database, Identifies and reconciles data discrepancies, Posts to sub ledgers, Coordinates account eligibility with membership areas, Provides billing information to internal and external contacts, Handles complex billing situations with minimal guidance
Seniority
Senior, hands-on IC