4338 Payment Specialist

Overview

This role involves supporting payment operations within a healthcare quality measurement organization that connects payers and pharmacies to improve patient health outcomes. The Payment Specialist will work closely with Clinical Transformation leadership, Payer Account Management, and Accounting teams to ensure accurate invoicing and timely payment distribution across enhanced service programs.

Responsibilities

Invoice Review & Coordination

• Collaborate with Payer Account Managers to review monthly, quarterly, and bi-annual invoices for accuracy
• Finalize pharmacy and organizational invoice details and send to accounting monthly
• Coordinate with payer teams to generate invoices for new programs as they launch

Payment Processing & Distribution

• Coordinate payment processes with Finance and Accounting teams
• Verify independent pharmacy affiliations to ensure correct payment recipients
• Provide accounting with revised payment details monthly for disbursement
• Send monthly payment breakdowns to enterprise pharmacy contacts
• Collect W-9 and EFT information from organizations and follow up on outstanding items
• Follow up on in-progress and delayed invoice payments with accounting and payer account managers

Revenue Tracking & Pharmacy Support

• Track revenue related to enhanced services payments
• Monitor payments by payee to support accurate disbursement
• Respond to payment-related inquiries and tickets from organizations and pharmacies
• Collaborate with internal teams to support organizational mission and plans

Requirements

• Bachelor's degree in Accounting, Finance, Business Administration, or related field
• Minimum 2 years of experience in billing, accounts receivable, payment operations, or financial coordination, preferably in healthcare or healthcare technology
• Strong organizational skills with ability to manage multiple recurring deadlines
• Proficiency in Microsoft Excel and data management tools; experience with healthcare provider data is a plus
• Excellent communication skills and ability to build professional relationships internally and externally
• Strong work ethic with ability to work independently
• Ability to maintain confidentiality and observe high business protocol standards
• Ability to work under pressure and meet sensitive, recurring deadlines

Preferred Qualifications

• Prior experience with payment operations, billing, or payer invoicing in healthcare
• Familiarity with pharmacy industry identifiers such as NPI, NCPDP, and Tax ID numbers
• Experience with EFT and ACH disbursement processes

Compensation & Benefits

• Health Care Plan including Medical, Dental, and Vision coverage
• Retirement Plan options (401k, IRA)
• Life Insurance (Basic, Voluntary, and AD&D)
• Paid Time Off including Vacation, Sick Leave, and Public Holidays
• Family Leave (Maternity and Paternity)
• Short Term and Long Term Disability coverage
• Training and Development opportunities
• Work From Home flexibility
• Free Food and Snacks
• Wellness Resources
• Stock Option Plan

Location

Not specified