Billing Specialist
ExactCare
full-time
Posted on:
Location Type: Remote
Location: New Jersey • United States
Visit company websiteExplore more
About the role
- Execute monthly billing processes, including enrollment and disenrollment updates, data validation, and invoice preparation.
- Review and reconcile client census counts and supporting billing inputs to ensure completeness and accuracy.
- Generate and distribute invoices in accordance with contractual terms and internal controls.
- Review vendor-related charges (e.g., courier invoices) and ensure appropriate client billing allocation.
- Support resolution of pharmacy billing issues, including rebills, claim rejections, and insurance discrepancies.
- Partner with operational teams and network pharmacies to investigate and resolve PBM and billing issues.
- Process and document billing adjustments, including medication return credits.
- Prepare billing schedules and documentation to support internal reviews and external audits.
- Assist with onboarding new clients or transitions of services to ensure billing continuity.
- Assist with audits, including annual PACE audits, quarterly PBM audits, and other internal or external reviews.
Requirements
- High School diploma or equivalent required.
- 2+ years of experience in healthcare billing, pharmacy operations, revenue cycle, or related financial operations required.
- Experience supporting PACE programs or PBM billing preferred.
- Strong understanding of billing operations and revenue cycle workflows.
- Excellent analytical and problem-solving skills with high attention to detail.
- Strong organizational and time management skills; able to manage multiple priorities in a deadline-driven environment.
- Effective verbal and written communication skills; able to collaborate cross-functionally and communicate clearly with operational stakeholders.
- High degree of ownership, accountability, and follow-through.
- Proficiency in Excel and comfort working across multiple systems and billing platforms.
- Ability to operate independently while contributing collaboratively in a dynamic environment.
Benefits
- medical/dental/vision
- flexible spending
- company-paid life insurance and short-term disability
- voluntary benefits
- 401(k)
- Paid Time Off
- paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billing processesdata validationinvoice preparationcensus reconciliationbilling adjustmentsauditingrevenue cycle workflowsproblem-solvinganalytical skillsattention to detail
Soft Skills
organizational skillstime managementeffective communicationcollaborationownershipaccountabilityfollow-throughindependenceadaptabilitymulti-tasking