Payment Specialist

This is a fully remote position, open to applicants in California.

📋 Description

• Report directly to the Director of Clinical Transformation and collaborate closely with the Payer Account Management and Accounting teams to guarantee precise and timely invoicing and payment distribution across PQS Enhanced Services programs.

• Oversee the complete payment operations process—from invoice assessment and revenue monitoring to coordination of disbursements with PSAOs, chain pharmacies, and independent pharmacy organizations.

• Partner with Payer Account Managers to verify the accuracy of monthly invoices for Enhanced Services programs.

• Collaborate with Payer Account Managers for invoice reviews on a monthly, quarterly, and bi-annual basis.

• Dispatch finalized pharmacy and PQS invoice information to the accounting department for each payer on a monthly schedule.

• Work alongside the payer team to ensure the generation of new program invoices as the programs become operational.

• Coordinate the payment process with Finance and Accounting teams, which includes verifying independent pharmacy affiliations, sending updated payment details for disbursement, and collecting W-9 and EFT information from organizations.

• Follow up with accounting and payer account managers regarding pending and delayed invoice payments.

• Monitor PQS revenue related to Enhanced Services payments and track payments by payee to facilitate timely and accurate disbursement to pharmacies.

• Address all payment-related inquiries and tickets from organizations and pharmacies.

• Collaborate effectively with all PQS staff and its parent companies to ensure the successful execution of PQS’ mission and objectives.

⛳️ Requirements

• A Bachelor’s degree in Accounting, Finance, Business Administration, or a related discipline.

• A minimum of 2 years of experience in billing, accounts receivable, payment operations, or financial coordination—ideally within a healthcare or healthcare technology setting.

• Strong organizational skills with the capability to manage multiple recurring deadlines concurrently.

• Proficiency in Microsoft Excel and data management tools; experience with healthcare provider data is advantageous.

• Exceptional communication skills along with the ability to establish and maintain professional relationships across internal teams and external stakeholders.

• Strong work ethic, including the capability to deliver results with minimal oversight.

• Ability to uphold high levels of business protocol and maintain confidentiality.

• Must be able to work in high-pressure situations and meet sensitive, recurring deadlines.

• Previous experience in payment operations, billing, or payer invoicing within a healthcare context.

• Familiarity with pharmacy industry identifiers such as 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