Billing Specialist
Elara Capital
Billing Analyst, Client Financial Operations
Capital Rx
full-time
Posted on:
Location Type: Remote
Location: Remote • Colorado, New York • 🇺🇸 United States
Visit company websiteSalary
💰 $60,000 - $70,000 per year
Job Level
JuniorMid-Level
Tech Stack
ERPSQL
About the role
- Lead comprehensive billing processes by analyzing inbound data from multiple sources, including multi-year contracts, client programs, and service volumes (e.g., per claim, per member, one-time fees, recurring fees).
- Manage billing across various lines of business including commercial, public, private, and government health plans, covering drug spend and ancillary services.
- Prepare and issue invoices based on predefined billing schedules and contract terms.
- Enter billing data into financial systems and verify accuracy across multiple sources.
- Reconcile billing records between internal platforms (e.g., ERP and adjudication systems) to ensure consistency.
- Review internal documentation to confirm billable items are correctly captured.
- Assist with internal audits by providing accurate billing records and documentation.
- Maintain organized records of billing activities and ensure proper documentation for compliance.
- Follow established billing procedures and escalate discrepancies to senior finance staff.
- Utilize SQL or other data query applications to prepare journal entries, accruals, and adjustments as required
- Responsible for adherence to the Capital Rx Code of Conduct, including reporting of non-compliance.
Requirements
- Undergraduate bachelor’s degree in Business, Finance, or quantitative field and/or PBM experience (preferred)
- 2+ years of related experience in finance, data analysis, or accounting
- Strong Excel and SQL Skills
- Ability to challenge and improve existing processes through automation and redesign
- Motivated team player with the ability to work in a fast-paced, forward-moving environment
- Attention to detail & commitment to delivering high quality work
- Passion for healthcare and for driving lasting change in pharmacy benefits
- Ability to define problems, collect data, establish facts, solve problems, make recommendations, and draw valid conclusions in a timely and accurate manner
Benefits
- Health insurance
- 401(k) plan
- Paid time off
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
billing processesdata analysisinvoicingfinancial systemsreconciliationSQLExceljournal entriesaccrualsadjustments
Soft skills
attention to detailteam playerproblem solvingprocess improvementmotivationcommitment to qualityability to work in fast-paced environmentcommunicationanalytical thinkingadaptability
