Pharmacy Business Support Specialist

Advocate Health • Winston-Salem, NC

4d • $22 - $33 • Onsite

About The Position

The Pharmacy Business Support Specialist supports Pharmacy Business Operations through pharmacy claims reconciliation, payment and receivables tracking, patient billing, payer communications, credentialing, invoice processing, and financial reporting. The role is based on-site at Piedmont Plaza 1 in Winston-Salem and is full-time, 40 hours per week, Monday through Friday, 8 a.m. to 5 p.m. No certification or license is required; pharmacy technician experience and pharmacy technician credentials are preferred.

The position works primarily in an administrative office environment and requires accurate, detailed work, strong mathematical skills, and proficiency with common office equipment and software. The specialist may also provide billing compliance training to pharmacy staff and respond to patient billing questions.

Requirements

• High school diploma or equivalent.
• Typically, 2 years of experience required.
• Proficiency with a calculator, PC, scanner, and copy machine.
• Proficiency with Microsoft Excel, Word, and Outlook.
• Proficiency with Adobe Pro.
• Ability to multitask and be self-motivated.
• Strong mathematical skills and the ability to perform accurate, detailed work.
• Ability to work in an environment with interruptions and moderate noise levels.
• Ability to perform occasional walking, standing, and lifting of materials up to 25 pounds.
• Ability to occasionally stretch, bend, twist, squat, and kneel.
• Ability to write, type, and enter data into a computer system; use of both hands; clear vision and ability to read small print; and ability to speak clearly for effective communication.
• Professional image and a team-oriented approach.

Nice To Haves

• Pharmacy Technician experience.
• Financial analyst or staff accounting experience.
• Registration or licensure with the state board of pharmacy, as required by the state of employment.
• Pharmacy Technician Certification Board (CPhT) or National Healthcareer Association (ExCPT) certification.

Responsibilities

• Reconcile pharmacy claims to third-party and interdepartmental payments; track and report payments, receivables, and bad debt; review EOBs and reconcile bank deposits.
• Manage documentation and assist with pharmacy financial assistance program processes.
• Use payer and banking portals to research payment denials and exceptions; contact third-party payers to resolve denials or underpayments and respond to requests for supporting documentation.
• Communicate payment and remittance information to external billing agencies.
• Submit manual claims when necessary and monitor claim status to ensure payment is received.
• Ensure Medicare Part B documentation is completed and maintained to support compliant billing, and provide billing compliance training for pharmacy staff.
• Compile supporting documentation in response to payer audits.
• Manage patient billing and receivables, generate patient invoice statements, and process payments.
• Administer outpatient pharmacy charity care and extended payment programs.
• Answer the pharmacy billing phone line and assist patients with questions.
• Assist with payer credentialing by compiling and submitting required documentation.
• Submit pharmacy invoices for payment, ensure proper invoicing, and support timely vendor payments.
• Maintain financial data and generate monthly reports to support month-end accounting entries.
• Produce ad hoc management reports as needed.
• Seek ways to minimize waste and reduce costs, and work within budget guidelines.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, premium pay for select circumstances, incentive pay for select positions, and the opportunity for annual performance-based increases.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED