Pharmacy Billing Specialist

Are you interested in harnessing technology and AI to transform healthcare?

At XiFin , we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care .

We're on a mission to simplify the business side of healthcare-and we know that mission takes people from all backgrounds and experiences. Whether you're early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

About the Role

XiFin is seeking a Billing Specialist to support monthly billing for pharmacy and laboratory customers. This role is responsible for accurate invoicing, contract support, customer account reconciliation, and billing issue resolution across a high-volume customer environment.

In this role, you will partner with Finance, Operations, and customer-facing teams to manage recurring monthly billing activity, research account discrepancies, and help ensure customer accounts are billed accurately and on schedule.

Healthcare or pharmacy billing experience is not required. Experience in Netsuite, fintech, SaaS, payments, or another high-volume billing environment would be a potential fit for this role.

This position will be located at our office in San Diego, CA.

This position is not eligible for employment sponsorship now or in the future. Applicants must have current and ongoing authorization to work in the United States.

How you will make an impact:

In this role, you'll:

• Prepare and process monthly invoices for pharmacy and laboratory customers, ensuring billing is accurate, complete, and delivered on schedule
• Manage high-volume billing activity across assigned accounts, following established billing calendars, controls, and customer requirements
• Reconcile customer accounts, research variances, and resolve discrepancies related to invoices, payments, credits, and adjustments
• Contract support: use contract pricing, fees, and payment terms, review of termination and renewal provisions
• Review billing data for completeness, accuracy, and consistency before invoicing
• Partner with Finance, Operations, and customer-facing teams to resolve billing questions and support timely collections
• Maintain accurate billing documentation, account notes, reconciliations, and audit support
• Identify recurring billing issues, recommend process improvements, and help strengthen monthly billing controls
• Support month-end billing close activities, reporting, and account reconciliation
• Use NetSuite and other tools to manage invoicing workflow and account activity

What you will bring to the role:

We're looking for someone with a strong work ethic, sound judgment, and a high degree of accuracy. You might be a great fit if you:

• Bring strong attention to detail when working with contracts, invoices, account data, and reconciliations
• Have experience in high-volume billing, invoicing, account reconciliation, or related finance operations environments
• Are comfortable managing recurring monthly billing cycles with tight deadlines and multiple customer accounts
• Can research discrepancies, follow through on open issues, and communicate clearly with internal partners
• Take a process-minded approach and know when to escalate issues or recommend improvements

Skills and experience you have:

You don't need to check every box. We will consider a combination of education and experience, including:

• Accounting, finance, business, or related education preferred
• Experience with billing, contracts, invoicing, accounts receivable, account reconciliation, or finance operations
• Prior experience supporting high-volume billing systems or recurring monthly billing processes
• Experience with pharmacy, laboratory, healthcare, or revenue cycle billing
• Fintech, SaaS, payments, or other transaction-heavy billing experience is a strong plus
• NetSuite experience is a plus

Why XiFin?

We're more than just a healthcare technology company-we're a team that cares about people.
Here's a glimpse at what we offer:

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching to support your financial future
• Health Savings Account (HSA) with company contributions
• Wellness incentives that reward your preventative healthcare activities
• Tuition assistance to support your education and growth
• Flexible time off and company-paid holidays
• Social and fun events to build community at our locations!

Pay Transparency

At XiFin, we believe in pay transparency and fairness. The expected annual salary range for this role is: $23-$26 per hour.


Depending on your qualifications, you may be considered for the Pharmacy Billing Specialist title. Final compensation will be determined during the selection process and may vary based on experience, skills, and geographic location.

Accessibility & Accommodations

We're committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at View phone number on click.appcast.io.

Equal Opportunity Employer

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.

Ready to apply?
We'd love to hear from you-even if you're not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.