Billing Specialist - PACE - Remote Pennsylvania

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.

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

Additional Qualifications

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.