Billing Specialist

PBM Billing Specialist Senior

Virtual: 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 is a proud member of the Elevance Health family of companies. 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.

The PBM Billing Specialist Senior is responsible for assembling and maintaining all necessary documentation for billing purposes.

How you will make an impact:

• 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.

Minimum 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, Capabilities and Experiences:

• PBM Billing experience.
• Proficient with Microsoft Excel.
• AS in accounting.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $19.22/hour - $34.90/hour.

Locations: Columbus, OH; Cleveland, OH; Virginia

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee

Job Level: Non-Management Non-Exempt

Workshift: 1st Shift (United States of America)

Job Family: AFA > Financial Operations