Pharmacy Receivables Analyst

Meijer•Grand Rapids, MI

4d•Onsite

About The Position

The Pharmacy Receivables Analyst works both independently and with cross-functional business partners (Finance, Pharmacy Third Party, Pharmacy Operations, IT) to drive results, meeting established goals and maintaining compliance. Using hosted systems (Pharmacy EPS and AbsoluteAR), Microsoft Office and various vendor provided tools the Pharmacy Receivable Analyst researches, analyzes, corrects and resolves exceptions regarding the status of pharmacy claims.

Requirements

Bachelor of Accounting/Finance or Business degree or equivalent experience.
Proficiency in Microsoft Office applications, with advanced knowledge in Excel and ability to learn and understand company systems and tools, such as Alteryx and UiPath.
Strong analytical and problem solving skills to independently identify and resolve the root causes of exceptions.
Ability to organize and prioritize multiple activities within established deadlines.
Requires constant attention to detail.
Customer and results oriented.

Nice To Haves

Experience with medical billing/collection preferred.

Responsibilities

Performs research and analysis on aged pharmacy claims, this includes evaluating trends and recommending solutions or other corrective actions to maximize cost saving and profitability.
Independently responsible for reviewing and analyzing payment activity to identify and resolve payment exceptions.
Documents actions, pursues collection on unpaid claims and initiates refunds of overpayments as needed.
Performs research and analysis on unapplied cash and liability situations and initiates corrective actions.
Summarizes and communicates findings on research and analysis to Pharmacy Third Party, Operations, IT and others.
Provides financial and analytical day-to-day support and recommendations to Pharmacy Third Party through data and trend analysis while ensuring pharmacy compliance have been followed.
Prepares and publishes regular and ad-hoc reporting to cross-functional business partners including, finance management, Pharmacy Third Party, Pharmacy Operations and IT.
Rebills claims to correct errors related to billing or payment issues using the Pharmacy PDX/EPS system and other available tools.