Pharmacy Revenue Assurance Analyst
2 weeks ago
Join Our Team at Synchrony Health Services:
Become a valued member of our organization focused on enhancing long-term care for our residents while fostering a supportive environment for our staff. Synchrony Health Services is recognized for its commitment to individuality, professional growth, and creating a fulfilling workplace. If you seek a company that appreciates your contributions, encourages your development, and transforms dedication into a rewarding career, Synchrony is the ideal choice for you.
- Key Responsibilities:
- Conduct audits of pharmacy billing to verify accuracy for clients, governmental entities, and third-party payers.
- Implement pre-edit strategies utilizing Script IQ.
- Examine post-edit reports with Net RX for necessary corrections and follow-up actions.
- Collaborate with regional offices and pharmacy personnel to facilitate efficient claims rebilling.
- Analyze medication data to identify cost-saving opportunities and improve patient care.
- Enhance pharmacy operations and manage insurance claims proficiently.
- Boost revenue capture through comprehensive gross margin reporting.
- Present analytical findings to management to support informed decision-making.
- Assist in inventory reconciliation as part of revenue cycle management.
- Propose enhancements to strengthen revenue integrity and compliance.
- Work towards minimizing medication claim denials and outstanding claims.
- Comply with company policies and regulations regarding proper medication dispensing.
- Education: High School Diploma or GED.
- Experience: 1-3 years in long-term care pharmacy.
- Detail-oriented with the ability to work independently in a dynamic environment.
Preferred: Certified Pharmacy Technician (CPhT) or equivalent credential.
Physical Requirements:Must be capable of lifting at least 50 lbs and engaging in various physical activities throughout the workday. Strong verbal and written communication skills are essential.
Why Choose Synchrony Health Services:
At Synchrony, we prioritize your well-being and view you as an integral part of our family, not merely an employee. Our comprehensive benefits address financial, physical, and emotional well-being, ensuring you can thrive and reach your full potential. Experience the Synchrony Advantage today.
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