Pharmacy Billing Coordinator Ambulatory Pharmacy

Nationwide Children's Hospital

Job Location:

Columbus, NE - USA

Monthly Salary: Not Disclosed

Posted on: 16 hours ago

Vacancies: 1 Vacancy

Job Summary

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:

Leads outpatient pharmacy billing procedures 340B rebate data submission and payment reconciliation supports patient accounts and manages third party payor contracts. Collaborates to perform necessary administrative functions in support of the outpatient pharmacies and 340B program.

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

Required Experience:

Overview:Schedule:Monday - Friday daytime business hoursPotential to be a hybrid position after successful onboarding completion of training and probation periodJob Description Summary:Leads outpatient pharmacy billing procedures 340B rebate data submission and payment reconciliation supports patien...