Pharmacy Revenue Cycle Analyst
virtual vocationsDenver, CO
Pharmacy Revenue Cycle Analyst
L4
virtual vocationsDenver, COtoday
Industries
Pharmacies and Drug RetailersDrugs and Druggists' Sundries Merchant WholesalersPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsFocused on improving pharmacy revenue processes, the full-time Pharmacy Revenue Cycle Analyst will manage claims resolution, analyze billing practices, and ensure compliance with regulatory guidelines while working remotely.
Key responsibilities:
Research and resolve claims that have not passed payer edits, initiating actions to address rejected drug claims
Serve as a subject matter expert for provider relationships, reimbursement issues, and claims management
Collaborate with revenue cycle departments to improve claim denials and enhance billing accuracy
Required qualifications:
Bachelor's degree in Business, Healthcare, or a related field, or equivalent work experience
1 to 3 years of experience in healthcare, coding, finance, or revenue cycle management, preferably in a Medical Center setting
Advanced knowledge of professional billing flows, coding systems, and Medicare billing guidelines
Preferred certifications include Certified Pharmacy Technician and Coding Certification (CPC, RHIT)
Strong analytical skills and ability to interpret medical and billing terminology
Apply now (opens in a new tab)
Level
MidL4
Location
Denver, CO
Occupation
Bookkeeping, Accounting, and Auditing Clerks
Industry
Pharmacies and Drug Retailers
Posted
today
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