Pharmacy Benefit Manager Invoice Processor – Meritain Health

Pharmacy Benefit Manager Invoice Processor – Meritain Health

Requirements

• 2+ years of experience with health care data entry and/or claims processing.
• 1-3 years of customer service experience.

Responsibilities

• Imports and monitors PBM claim data and invoice files.
• Reconciles and balances claims data and invoices in the claims processing system.
• Coordinates client billing and invoice payments.
• Communicate invoice processing errors/delays to client management.
• Communicate missing files for assigned book of business to file management.
• Maintain invoice tracker by keeping assigned book of business up to date.
• Manage special accommodation products as required. (i.e. international sourced drugs, complex PBM vendors, and high-profile clients).
• Reconcile aging reports and stop loss inquiries.
• Meet key performance metrics including production, quality, and turnaround time.

Preferred Qualifications

• Ability to independently handle multiple assignments competently, accurately, and efficiently.
• Strong attention to detail.
• Work effectively in a team environment.
• Ability to work overtime if necessary.
• Demonstrated proficiency in Microsoft Excel.