Pharmacy Billing Coordinator - Ambulatory Pharmacy

Overview:

Schedule:

• Monday - Friday, daytime business hours
• Potential to be a hybrid position after successful onboarding, completion of training and probation period

Job Description Summary:

Job Description:

Essential Functions:

• Accountable for prescription claim surveillance and payment reconciliation. Serves as lead point of contact with third party reconciliation vendors.
• Reviews and analyzes prescription claim reimbursements.
• Submits and reconciles Medicare claims data for the Medicare Transaction Facilitator.
• Submits and reconciles claims data for the HRSA approved 340B rebate program.
• Collaborates to manage, report, and optimize financial performance including both revenue and expense.
• Assists in reviewing and managing outpatient prescription benefit manager contracts, including recredentialing needs.
• Oversees preparation of monthly reports related to prescription charges.

Education Requirement:

• High school diploma or equivalent, required.
• Bachelors degree or 5 years of related experience, preferred.

Licensure Requirement:

Board of Pharmacy Technician License (Registered or Certified), preferred.

Certifications:

Apexus Advanced 340B Operations Certification, preferred.

Skills:

• Strong computer skills to include familiarity with Word, Excel, and Crystal Reports.
• Organizational skills and attention to detail with reconciliation duties.
• Ability to work independently. Strong communication skills.

Experience:

Five years of billing, accounts receivable, or 340B experience, preferred.

Physical Requirements:

OCCASIONALLY: Bend/twist, Biohazard waste, Chemicals/Medications, Climb stairs/ladder, Communicable Diseases and/or Pathogens, Lifting / Carrying: 11-20 lbs, Machinery, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Walking

FREQUENTLY: Lifting / Carrying: 0-10 lbs

CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing Far/near, Sitting, Standing

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"