Billing Specialist Senior - Cash Posting

CarelonRx Pharmacy is a proud member of the ElevanceHealth family of companies providing a digital-first pharmacy solution with simple, affordable and personalized pharmacy care with convenient delivery to customers. We focus on whole person care, providing the best member experience and overall health outcomes by putting the patient first.

• 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 accommodation is granted as required by law. 

The Billing Specialist Senior will be responsible for assembling and maintaining all necessary documentation for billing purposes.

• Maintains billing system database.
• Identifies, analyzes and reconciles discrepancies in data.
• Posts to sub ledgers.
• Strong analytical and math skills.
• Ability to work independently in a fast-paced environment within specified deadlines
• 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.

• Requires H.S. 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.

• Strong Microsoft Office skills *Excel strongly preferred. 
• Strong understanding of Explanation of Benefits, Ansi Codes, Reason Codes and Denial Codes preferred.
• Daily processing and reconciliation of cash receipts and postings to customer accounts, including payments made by EFT/ERA, credit card, lockbox and branch deposits as well as other adjustments to customer accounts for credits/debits and account write-offs at the line-item level preferred.
• Ability to identify, analyze and reconcile issues with billing, pricing or other customer service areas preferred.
• Ability to work overtime when necessary to meet department goals and objectives preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.