Billing Analyst, Client Financial Operations jobs in United States
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Capital Rx · 10 hours ago

Billing Analyst, Client Financial Operations

Judi Health is an enterprise health technology company providing comprehensive solutions for employers and health plans. The Billing Analyst role is critical for Client Financial Operations, focusing on process improvement in invoicing and reconciliations while collaborating with internal departments.

Hospital & Health Care

Responsibilities

Lead comprehensive billing processes by analyzing inbound data from multiple sources, including multi-year contracts, client programs, and service volumes (e.g., per claim, per member, one-time fees, recurring fees)
Manage billing across various lines of business including commercial, public, private, and government health plans, covering drug spend and ancillary services
Prepare and issue invoices based on predefined billing schedules and contract terms
Enter billing data into financial systems and verify accuracy across multiple sources
Reconcile billing records between internal platforms (e.g., ERP and adjudication systems) to ensure consistency
Review internal documentation to confirm billable items are correctly captured
Assist with internal audits by providing accurate billing records and documentation
Maintain organized records of billing activities and ensure proper documentation for compliance
Follow established billing procedures and escalate discrepancies to senior finance staff
Utilize SQL or other data query applications to prepare journal entries, accruals, and adjustments as required
Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance

Qualification

PBM experienceAdvanced SQL skillsData analysisExcel skillsTeam playerAttention to detailProblem-solving

Required

Undergraduate bachelor's degree in Business, Finance, or quantitative field and/or PBM experience (preferred)
3+ years of related experience in finance, data analysis, or accounting
Strong Excel and MS Office skills
Advanced SQL skills
Ability to challenge and improve existing processes through automation and redesign
Motivated team player with the ability to work in a fast-paced, forward-moving environment
Attention to detail & commitment to delivering high quality work
Passion for healthcare and for driving lasting change in pharmacy benefits
Ability to define problems, collect data, establish facts, solve problems, make recommendations, and draw valid conclusions in a timely and accurate manner

Company

Capital Rx

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Capital Rx is now Judi Health! Navigate to our new page here: https://www.linkedin.com/company/judi-health

Funding

Current Stage
Late Stage

Leadership Team

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A. J. Loiacono
CEO
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Ryan Kelly
CTO
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Company data provided by crunchbase