Pharmacy Reimbursement and Audit Coordinator

Froedtert • Menomonee Falls, WI

7d • Hybrid

About The Position

The Revenue Cycle, Compliance and Audit Coordinator will oversee the day to day functions of Pharm Tech- Reimb Specialists. This includes both Accts Payable and Accts Receivable functions. This coordinator role will also be responsible for all third party audits, store compliance with state laws and out of state laws where applicable. This position will also report to Ambulatory Management on any process improvement findings discovered through the assigned duties. Functions within the guidelines of Chapter 7 of the Wisconsin Statutes and Administrative Code -Pharmacy Examining Board -Pharmacy Practice Sections. Other duties as assigned.

Requirements

• Five years of progressively responsible experience as a pharmacy technician.
• Experience with third party insurances including Medicare and Medicaid.
• Associates degree.
• Proven attention to detail.
• Outstanding organizational and follow-up skills.
• Ability to analyze EOB (Explanation of Benefits) statements.
• Experience with various computer systems and programs, including Microsoft Office suite.
• Ability to learn new computer systems quickly.
• Certification through Pharmacy Technician Certification Board (CPhT) or National Healthcare Association (ExCPT) is required within 6 months of hire.

Nice To Haves

• Bachelors degree.
• Knowledge of accounting functions.

Responsibilities

• Oversee the day to day functions of Pharm Tech- Reimb Specialists, including Accounts Payable and Accounts Receivable.
• Responsible for all third party audits.
• Ensure store compliance with state laws and out-of-state laws where applicable.
• Report process improvement findings to Ambulatory Management.
• Function within the guidelines of Chapter 7 of the Wisconsin Statutes and Administrative Code - Pharmacy Examining Board - Pharmacy Practice Sections.

Benefits

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree