Pharmacy Revenue Financial Analyst Position Available In Suffolk, Massachusetts

Pharmacy Revenue Financial Analyst MEDuvi

LLC – 3.8

Boston, MA Job Details Contract $42 an hour 17 hours ago Benefits 401(k) Qualifications Medical collection Medicare Mid-level RHIT IV infusion Outpatient Certified Professional Coder

ICD-10 HCPCS

Bachelor’s degree CPT coding Contracts Business Editing Full Job Description 100% remote

Duration:

at least 3 months Under the direction of the Revenue Cycle Supervisor Pharmacy, the Revenue Cycle Claims Analyst is responsible through extensive telephone and written correspondence, will pursue insurance companies for payment or underpayment of services rendered. Must have the ability to analyze, audit, problem solve and reconcile an account is critical to this position. Key factors are hiring individuals with financial, pharmacy and medical revenue cycle expertise as a reimbursement solutions that identify and recover overlooked revenue.

ESSENTIAL RESPONSIBILITIES / DUTIES

Possess excellent medical and billing terminology skills; Ability to read, analyze and interpret prescription drug orders. Knowledge of Medicare and other regulatory billing codes and practices in order to assess billing for accuracy prior to submission to appropriate agency or company for processing and payment. Should be well-versed in regulatory guidelines and industry standards for Medicare and/or specific payer benefit providers.

EDUCATION

Bachelor’s degree in Business, Healthcare or closely related field or equivalent work experience.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED

Coding Certification

CPC, RHIT

(preferred)

EXPERIENCE

1 to 3 year of experience in healthcare, coding, finance, revenue cycle, patient accounting and/or physician billing, preferably in a Medical Center setting, Oncology or Home/Office Infusion settings.

KNOWLEDGE AND SKILLS

Requires advanced working knowledge of professional billing flows including charge entry, editing system functionality, and revenue cycle tasks. Ability to converts pharmacy drug quantities into Medicare billing units according to Medicare Guidelines prior to submitting medical CMS1500 claim forms. Must have a working knowledge of (CPT/HCPCS and

ICD-10-CM-PCS

diagnosis codes, understand current professional coder workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for inpatient, outpatient, and infusion records based on knowledge of coding systems). Knowledge of hospital and professional billing, collection and reimbursement requirements and standard practice. Must have working knowledge of drug NDC numbers and unit conversion SME (Subject Matter Expert) for complex denials and payment variances including contracts, fee schedules, and edits. Educates and provides feedback to various areas on Pharmacy Revenue Cycle rejection metrics and key performance indicators. – Compensation Statement. Please see pay rate within this job posting. Employee Benefits Statement. Meduvi offers comprehensive medical (HMO/PPO), dental (PPO), 401k and weekly payroll with direct deposit. EEO Statement. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.