Billing Specialist Senior - CarelonRx

Elevance Health•Atlanta, OH

5d•Remote

About The Position

The Billing Specialist Senior - CarelonRx will be responsible for assembling and maintaining all necessary documentation for billing purposes. This role enables associates to work virtually full-time, with the exception of 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. CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health.

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.

Nice To Haves

AS in accounting preferred.
Expereince using Nextgen EHR highly desired.
Advanced Infusion Care (AIC) or Home Infusion Therapy (HIT) experience strongly preferred.

Responsibilities

Maintains billing system database.
Identifies, analyzes and reconciles discrepancies in data.
Posts to sub ledgers.
Coordinates account eligibility with Membership areas.
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.