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AI Summary
Responsible for managing billing functions for outsourced services and PBM processes within the Revenue Cycle team. The role involves evaluating billing processes for efficiency and developing analytics dashboards to track trends.
At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Summary:
This position is responsible for various billing functions on the Revenue Cycle team. Knowledge of Revenue Cycle within a pharmacy would be extremely helpful in this role. Knowledge of SQL queries and database structure is required to be successful in this role. This position requires the ability to prioritize, plan, and complete tasks in a timely manner.
Essential Duties & Responsibilities:
This position is responsible for various billing functions on the Revenue Cycle team. Knowledge of Revenue Cycle within a pharmacy would be extremely helpful in this role. Knowledge of SQL queries and database structure is required to be successful in this role. This position requires the ability to prioritize, plan, and complete tasks in a timely manner.
Essential Duties & Responsibilities:
- Complete weekly billing functions for certain outsourced services arrangements
- Evaluate all billing processes for process improvement opportunities to improve efficiency and accuracy.
- Research and provide prompt and courteous follow-up for client related billing questions and/or reporting requests.
- Assist in the semi-monthly PBM Billing process, as needed.
- Complete the weekly, semi-monthly, and monthly HealthDyne Billing Process, as needed.
- Create and distribute other Invoices as needed.
- Advanced planning skills; must have the ability to manage tasks to successful timely conclusions.
- Assist in developing analytics dashboard to highlight trends in PBM and other functions.
- Support the Revenue Cycle team with other duties as assigned.
Education and Experience
- Must possess a 4-year degree, preferably in Data Science, Statistics, Healthcare Analytics or related fields, with proven quantitative experience.
- 1-3 years of work experience
- PBM, healthcare, pharmaceutical experience preferred.
Knowledge, Skills, and Abilities
- High proficiency in Microsoft SQL, R, or other data analysis tools.
- Python experience preferred.
- Microsoft Excel and Visual Studio experience preferred.
- Excellent analytical and critical thinking skills
- Intermediate understanding of Tableau or other data visualization tools
- Advanced diligence, keeping in mind the “big picture”
- Ability to analyze and interpret data based on results.
- Excellent written and verbal communication skills
- Ability to listen and understand information and ideas that are presented verbally.
Work Environment / Physical Demands
This position is in both a typical office environment which requires prolonged sitting in front of a computer and in an external environment where travel is required. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Minimal travel could be required.
EOE M/F/D/V
This position is in both a typical office environment which requires prolonged sitting in front of a computer and in an external environment where travel is required. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Minimal travel could be required.
EOE M/F/D/V
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