PBM Billing Specialist Senior

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.

The PBM Billing Specialist Senior is 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.
• 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.

• 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.

• 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.

Columbus, 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.

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 may contact elevancehealthj for assistance.

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.