Billing Specialist Senior

Posted Yesterday
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Plano, TX, USA
In-Office
Senior level
Healthtech
The Role
Assemble and maintain billing documentation and database, reconcile discrepancies, post to sub-ledgers, support first-line collections, process payments (EFT/ERA, credit card, lockbox), and communicate billing information to internal and external stakeholders while handling complex billing issues independently.
Summary Generated by Built In

Anticipated End Date:

2026-08-07

Position Title:

Billing Specialist Senior

Job Description:

Billing Specialist Senior

CarelonRx Pharmacy is a proud member of the ElevanceHealth family of companies providing a digital-first pharmacy solution with simple, affordable and personalized pharmacy care with convenient delivery to customers. We focus on whole person care, providing the best member experience and overall health outcomes by putting the patient first.

Virtual: This role enables associates to work virtually full-time, except for 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 accommodation is granted as required by law. 

Schedule: Monday - Friday, 8AM-5PM CST.

The Billing Specialist Senior will be responsible for assembling and maintaining all necessary documentation for billing purposes.

How you will make an impact:

  • Maintains billing system database.

  • Identifies, analyzes and reconciles discrepancies in data.

  • Posts to sub ledgers.

  • Strong analytical and math skills.

  • Ability to work independently in a fast-paced environment within specified deadlines

  • 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.

Minimum Requirements:

  • Requires H.S. 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.

Preferred Skills, Capabilities and Experiences:

  • Strong Microsoft Office skills *Excel strongly preferred. 

  • Strong understanding of Explanation of Benefits, Ansi Codes, Reason Codes and Denial Codes preferred.

  • Daily processing and reconciliation of cash receipts and postings to customer accounts, including payments made by EFT/ERA, credit card, lockbox and branch deposits as well as other adjustments to customer accounts for credits/debits and account write-offs at the line-item level preferred.

  • Ability to identify, analyze and reconcile issues with billing, pricing or other customer service areas preferred.

  • Ability to work overtime when necessary to meet department goals and objectives preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

AFA > Financial Operations

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.


Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.


How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.


Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.


The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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.


NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Skills Required

  • High school diploma or equivalent and minimum of 3 years billing and collections experience (or equivalent combination of education and experience)
  • Strong analytical and math skills
  • Ability to work independently in a fast-paced environment and meet deadlines
  • Professional and timely oral and written communication to internal and external customers
  • Fully proficient with daily billing tasks and able to handle complex billing situations with minimal guidance
  • Strong Microsoft Office skills, Excel strongly preferred
  • Understanding of Explanation of Benefits, ANSI Codes, Reason Codes and Denial Codes
  • Experience processing and reconciling cash receipts and postings to customer accounts, including EFT/ERA, credit card, lockbox and branch deposits, adjustments, and line-item write-offs
  • Ability to identify, analyze and reconcile billing, pricing, or customer service issues
  • Ability to work overtime when necessary to meet department goals

Elevance Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Elevance Health and has not been reviewed or approved by Elevance Health.

  • Strong & Reliable Incentives Bonuses are often described as “awesome,” and incentive programs are positioned as a meaningful contributor to total rewards beyond base pay. Regular bonus and raise cycles are also associated with sustained earnings increases over multiple years in some roles.
  • Parental & Family Support Family-focused benefits are broad, including paid parental leave, a parental transition week, and critical caregiving leave. Adoption and surrogacy assistance and a Dependent Care FSA with employer matching further strengthen support for caregiving responsibilities.
  • Retirement Support A 401(k) plan with employer matching is part of the core package and is consistently cited as a foundational financial benefit. Stock purchase access is also included as an additional long-term savings and ownership option.

Elevance Health Insights

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The Company
HQ: Indianapolis, IN
35,761 Employees

What We Do

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.   Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.  We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.

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