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Insight Global

Revenue Cycle Specialist (Pharmacy)

Career Insights for Pharmacist (General)

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What they do

A Pharmacist provides medications to patients and educates patients and physicians on the proper use of medications. May work for a pharmacy or a healthcare facility. May be directly involved in patient care, or consult with healthcare facilities or insurance companies to develop efficient methods of prescription.

$103,391 / year median in New Jersey

-4% projected decline

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Job Description

Title:
Pharmacy Revenue Cycle Specialist Duration:
6 month contract to hire - seeking longterm employees
Location:
REMOTE, must be driving distance from Inspira locations (Vineland, Mullica Hill hospitals in NJ)
Must-Haves:
2+ years of experience operating in a Revenue Cycle environment within a Pharmacy group for any healthcare organization Hands-on experience with pharmacy billing or PBM workflows Hands-on experience with denials, reconciliation, and prior auth Hands-on experience with EOBs, claim edits, and payment variances EMR system exposure (Epic, Cerner, etc.)
Education/Certifications/Licensure:
Earned or willing to receive NJ Pharmacy Technician license within 180 days of employment Certified Pharmacy Tech (PTCB, NHA, ASHP or ACPE) Certified Coder (RHIT, RHIA, CCS, CPC, or COC)
Bachelors Degree Plus:
PTCB Billing and Reimbursement Certificate Day-to-Day:
Insight Global is seeking a Revenue Cycle Specialist with Pharmacy experience to join a hospital system based in South Jersey. In this role, you will execute end-to-end retail pharmacy AR workflows within Epic Professional Billing including reconciliation and follow-up. You will monitor work queues within Epic PB and reconcile payer remittances (835). You will also manage denials, investigate and resolve credit balances and coordinate refund requests. From an analytics perspective, you will track and report on trends as it relates to AR and identify/voice gaps in workflow or build-related issues impacting revenue cycle performance. This role is primarily remote but must be relatively local to South Jersey in case of a need onsite.
Pay:
$20.00 - $25.00 per hour Expected hours: 40.0 per week
Benefits:
401(k) Dental insurance Health insurance Vision insurance
Work Location:
Hybrid remote in Vineland, NJ 08362