Pharmacy Revenue Cycle Analyst

Job Summary

A company is looking for a Revenue Cycle Analyst-Pharmacy to provide analytical support in all areas of pharmacy-related charges and revenue.

Key Responsibilities:

• Collaborate with Compliance Analysts to identify client prescriptions and track completeness and payment from insurance carriers
• Re-bill claims as appropriate and maintain reports or dashboards as needed
• Resolve claim rejections/denials, audit claims for accuracy, and perform month-end reconciliation of pharmacy revenue and receipts

Qualifications:

• Associate's Degree in Finance/Accounting or related discipline (Bachelor's Degree preferred)
• Minimum 2 years' experience working with and analyzing data, and producing reports
• Minimum 2-4 years' revenue cycle or accounts receivable experience
• Current Certified Pharmacy Technician (CPhT) License preferred
• Knowledge of insurance billing for various pharmacy payers and Medicare/Medicaid/private payer insurance programs