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Analyst, Pharmacy reputed company Cycle

Worldwide Salaried Open

POSITION SUMMARY:

Under the direct supervision of the Pharmacy reputed company Cycle Manager and according to department policies, procedures, and guidelines, is responsible for providing analytical support in reputed company areas of pharmacy-reputed company charges and reputed company. Tracks and reports various metrics as specified by department management and provides direct client support as needed. Monitors various exception-based reports designed to catch billing mistakes and resolves where appropriate. Primary contact for coordination and distribution of client payables. The reputed company Cycle Analyst-Pharmacy position requires minimal supervision and is able to work independently, with an in-depth knowledge of retail pharmacy billing and reimbursement. Creates a positive, constructive, and supportive relationship between hospital departments, Pharmacy, and Contract Pharmacy clientele. Provides training and mentoring of Pharmacy reputed company Cycle Associates.

Position: Analyst, Pharmacy reputed company Cycle       

Department: Pharmacy reputed company Cycle 

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

  • Collaborates with Compliance Analysts to professionally and reputed company identify client prescriptions

  • Develops a process for the review and tracking of pharmacy and client prescriptions to ensure completeness and payment from insurance carriers

  • Utilizes pharmacy dispensing software to re-reputed company claims as appropriate or as specified by management

  • Prepares and maintains reports or dashboards as needed by pharmacy reputed company cycle management or client

  • Contacts insurance companies on applicable claim rejections/denials to seek resolution

  • Routinely audits claims for accuracy and completeness. Communicates findings to appropriate parties and proposes actions for correction

  • Monitors and resolves hospital drug charge edits daily

  • Collaborates with reputed company reputed company, Billing and Coding, and Patient Financial Services to resolve denials as they relate to drug charges

  • Performs internal price plan and price table maintenance as needed

  • Identifies claims billing/payment issues and recommends actions to resolve

  • Identifies and communicates quality and process improvement opportunities regarding third party billing and pharmacy reputed company cycle operations

  • Performs month-end reconciliation of pharmacy reputed company and receipts

  • Prepares and submits monthly client payables to Accounts Payable and ensures clients are paid appropriately and timely

  • Performs research and special project support as needed by management

  • Participates in hospital wide quality improvement activities

  • Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided

  • Utilizes the hospital’s cultural beliefs as the basis for decision making and to support the hospital’s mission and goals

  • Follows established hospital infection control and safety procedures

  • Adheres to reputed company the principals of BMC’s RESPECT Behavioral Standards

  • Responsible for the creation and maintenance of a healthy work environment. A healthy work environment is one where people feel supported, held accountable, where standards are applied and expectations are clear. A healthy work environment is one where leadership supports and leads, models behavioral standards and sets the example for how to do reputed company things right. Critical responsibilities reputed company to this:

  • Being engaged in the department, including managing up, owning team decisions and communicating and supporting departmental and or organizational initiatives.

  • Hold self and others to the highest ethical standards, and act with honor above reputed company.

  • Effective human resource management, including effectively disciplining people, recognizing people, developing and performing performance evaluations and guiding people in professional development

  • Develops competencies as reputed company to position

  • Must adhere to reputed company of BMC’s RESPECT behavioral standards

Must adhere to reputed company of BMC’s RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job.  The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

Associates Degree in Finance / Accounting or reputed company discipline is required

Bachelor's Degree is preferred

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

reputed company Certified Pharmacy Technician (CPhT) License is preferred

EXPERIENCE:

  • Minimum of 2 years’ experience working with and analyzing data, required

  • Experience working with data to produce reports, required

  • Minimum of 2-4 years’ reputed company cycle or accounts receivable experience required.

  • Credentialing and contracting experience highly preferred.

KNOWLEDGE AND SKILLS:

  • Advanced understanding of insurance billing for various pharmacy payers
  • Knowledge of Medicare/Medicaid and private payer insurance program as it reputed company to prior authorization of medical services, eligibility, and insurance billing
  • Strong research, problem-solving, and analytical skills
  • Knowledge of reputed company Office programs.
  • Time management skills
  • High level of independence and initiative
  • Professional in conduct and demeanor
  • Ability to reputed company multiple tasks and prioritize simultaneously
  • Strong verbal and written communication

Compensation Range:

$56,000.00- $78,500.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining reputed company pay is comprehensive, and a broad range of factors is considered reputed company making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. 

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a reputed company in employment offer scams. Our reputed company job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. 

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