Retail Pharmacy Business Specialist - Fargo - Full Time
Retail Pharmacy Business Specialist - Fargo - Full Time
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Job Description
Sanford Health is one of the largest and fastestgrowing notforprofit health systems in the United States. Were proud to offer many development and advancement opportunities to our nearly 50000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
8 Hours Day Shifts (United States of America)Scheduled Weekly Hours:
40Salary Range: $15.00 $23.00Union Position:
NoDepartment Details
Summary
The Pharmacy Business Office Specialist supports retail pharmacy operations. The position is MondayFriday no weekends or holidays. Hours are 8:004:30 with a half hour lunch. Friday is designated jean day one of the perks for our small unique department.We are looking for candidates who are selfmotivated able to work independently have an attention detail and an understanding of insurance. If you are looking for an exciting and challenging career in the world of retail pharmacy this could be the place for you.
Job Description
The Pharmacy Business Specialist is a unique position which supports all of the Sanford owned retail pharmacies which includes: Broadway I94 South University Moorhead Detroit Lakes Bemidji Thief River Falls and Alexandria.
We are a small department with much responsibility. This position requires attention to detail flexibility ability to work independently able to stay on task and a unique understanding of insurance.
The Pharmacy Business Specialists duties and responsibilities are as follows:
Mail distribution for pharmacy
Daily deposits both insurance and personal payments
CARS (Cash Reconciliation Solutions)
Tills
Insurance benefit verification for our Home Infusion book of business
AR Follow up ensuring proper payment has been received
Prior authorizations
SPAP which is our (Pharmacy Financial Assistance Program)
Monitoring customer accounts and statements
Collection process
Running end of month reports for Finance
Medicare and third party audits
Patient refunds and rebilling prescriptions
Customer service
Resource / trouble shooting for pharmacists
Recording pharmacy payments in Inmar (our reconciliation company)
Monitoring Medicare claims to ensure payment has been received by all payers.
Working denied claims
Each staff member is also required to attend webinars through Noridian.
(This is essential in staying current with any changes / requirements of Medicare. This information is then shared to educate pharmacy staff regarding any changes or processes).
Qualifications
High school diploma or equivalent. Postsecondary education in medical billing and insurance helpful.
Six months related work experience in the medical and or pharmacy field preferred. Computer skills essential.
Knowledge of medical billing / insurance helpful.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application please callor send an email to
Required Experience:
Unclear Seniority
Employment Type
Full-Time
