Payment Specialist

🔥 21 hours ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Innovaccer

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2014

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

💰 $150M Series E on 2021-12

Healthcare Insurance • Artificial Intelligence • SaaS

Innovaccer is a healthcare technology company dedicated to transforming how healthcare information is utilized and accessed. They provide a comprehensive Health Cloud that aims to accelerate digital transformation for providers, payers, and life sciences companies by offering unified healthcare data and analytics. Innovaccer leverages artificial intelligence to automate tasks, process medical data, and generate insights to improve clinical and financial outcomes. Their solutions focus on integrating and optimizing healthcare systems, promoting value-based care, improving patient engagement, and reducing the administrative burden on healthcare providers. Innovaccer's platform supports various healthcare stakeholders through advanced data activation, analytics, and streamlined workflows, striving to improve healthcare delivery and patient care globally.

📋 Description

• Report to the Director, Clinical Transformation and work closely with the Payer Account Management and Accounting teams to ensure accurate, timely invoicing and payment distribution across PQS Enhanced Services programs. • Responsible for end-to-end payment operations—from invoice review and revenue tracking to disbursement coordination with PSAOs, chain pharmacies, and independent pharmacy organizations. • Collaborate with Payer Account Managers to review monthly invoices for Enhanced Services programs for accuracy. • Collaborate with Payer Account Managers to review invoicing monthly, quarterly and bi-annually. • Send finalized pharmacy and PQS invoice details to the accounting department for each payer on a monthly basis. • Work with the payer team to ensure new program invoices are generated as programs go live. • Coordinate on Payment process with Finance and Accounting teams including verification of independent pharmacy affiliations, sending revised payment details for disbursement, and collecting W-9 and EFT information from organizations. • Follow up with accounting and payer account managers on in-progress and delayed invoice payments. • Track PQS revenue for Enhanced Services payments and track payments by payee to support timely and accurate disbursement to pharmacies. • Answer all payment-related tickets and inquiries from organizations and pharmacies. • Work collaboratively with all PQS staff and its parent companies to ensure that PQS’ mission and plans are carried out successfully.

🎯 Requirements

• A Bachelor’s degree in Accounting, Finance, Business Administration, or a related field. • 2+ years of experience in billing, accounts receivable, payment operations, or financial coordination—preferably in a healthcare or healthcare technology environment. • Strong organizational skills with the ability to manage multiple recurring deadlines simultaneously. • Proficiency with Microsoft Excel and data management tools; experience with healthcare provider data is a plus. • Excellent communication skills and the ability to build and maintain professional relationships across internal teams and external partners. • Excellent work ethic, including the ability to achieve results with minimal supervision. • Ability to observe high levels of business protocol and to maintain confidentiality. • Must be able to work under pressure and meet sensitive, recurring timelines. • Prior experience with payment operations, billing, or payer invoicing in a healthcare environment. • Familiarity with pharmacy industry identifiers including NPI, NCPDP, and Tax ID numbers • Experience with EFT and ACH disbursement processes.

🏖️ Benefits

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