Billing Specialist - PACE - Remote Pennsylvania

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Billing Specialist - PACE - Remote Pennsylvania

Job Description

Position will be remote in Pennsylvania and will require one day a week on sight at the Harrisburg, PA office. Responsible for timely and accurate client record maintenance. Support Client Billing and remittance. Research and resolve questions, complaints and grievances and ensure information in all databases is accurate and properly configured to support operations and properly record revenue. Support Management by communicating report results through meetings/e-mails to help mitigate revenue risks. Record all contracting information regarding billing and adheres to Sarbanes Oxley Policies for Employer Solutions.

Responsibilities

• Researches and resolves Client Account Issues and ensures Billing System is updated timely, appropriately and accurately to support accurate Client Remittance and proper revenue recognition for assigned Clients. Ensures timely delivery of billing cycled invoices to Clients.
• Prepares 5500 Schedules. Maintain annual audit spreadsheets for completed 5500S. Utilize billing history to initiate schedules proactively. Maintains documentation with processed information.
• Researches and responds in a professional and timely manner to inquiries from both clients and other Internal Staff.
• Researches information regarding complex inquiries, develops solutions, and communicates professionally the outcome by telephone and in writing. Communicates with Account Executives to ensure that Client data is gathered in a timely manner.
• Responds to client/account management requests to update/change client information and ensures that all changes are made within operational guidelines and accurately support all other system related functions.
• Follows through on additional requests/projects as requested by Management.

Minimum Qualifications

• High school diploma from an accredited school or equivalent GED
• Preferred associate's degree

• Experience Level 2+ years
• Required experience in Billing

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• 2+ Years of Accounts Receivable Experience including Billing, Reconciliations, and Collections.
• Solomon Experience needed.

Preferred Qualifications

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $17.85 - $25.48 based on experience and skills.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.