MotivHealth

Billing Specialist

• Lead claims billing functions, ensuring accurate reconciliation, invoicing, shared savings calculations, and process optimization.
• Manage RX/PBM billing and reconcile pharmacy claims and shared savings.
• Support stop-loss operations, including coordination with third-party carriers and reimbursement tracking.
• Own the billing inbox, client inquiries, AR aging reports, and ACH processing.
• Maintain billing trackers, prepare reports, and support accurate month-end financial reporting.
• Partner cross-functionally with Finance, Client Services, and Operations to resolve complex billing issues.
• Analyze billing trends and variances, identify discrepancies, and implement corrective actions.
• Maintain accurate records and ensure compliance with HIPAA and internal financial controls.

Client Billing Specialist