Pharmacy Tech Revenue and Audit Specialist
About The Position
The Revenue & Audit Specialist ensures accurate billing, reimbursement, and compliance for pharmacy claims. The role serves as a liaison among patients, the pharmacy, insurance providers, and other involved third parties to support customer service and Froedtert Health’s profitability. It is responsible for timely internal auditing of retail pharmacy practice and handling external audit functions. The specialist operates within the guidelines of Chapter 7 of the Wisconsin Statutes and Administrative Code, Pharmacy Examining Board—Pharmacy Practice Sections. Other duties may be assigned. The position is hybrid at the CP-North Hills Health Center facility in Menomonee Falls, Wisconsin. It is a 1.0 FTE role with 40 standard hours per week, Monday through Friday on the day shift, with no holidays or weekends.
Requirements
- At least 5 years of experience as a pharmacy technician.
- Experience with third-party insurance, including Medicare and Medicaid.
- High school diploma or GED equivalency.
- Proven attention to detail.
- Outstanding organizational and follow-up skills.
- Ability to analyze Explanation of Benefits (EOB) statements.
- Experience with computer systems and programs, including word processing, spreadsheets, and presentation software.
- Application for Wisconsin registration as a Pharmacy Technician by the hire date, with registration to be obtained within 12 months of hire.
- Pharmacy Technician Certification Board (CPhT) or National Healthcare Association (ExCPT) certification within 6 months of hire.
Nice To Haves
- At least 7 years of senior-level pharmacy experience.
- Bachelor’s degree.
Responsibilities
- Ensure accurate billing, reimbursement, and compliance for pharmacy claims.
- Liaise among patients, the pharmacy, insurance providers, and other involved third parties.
- Conduct timely internal audits of retail pharmacy practice.
- Handle external audit functions.
- Operate within the guidelines of Chapter 7 of the Wisconsin Statutes and Administrative Code, Pharmacy Examining Board—Pharmacy Practice Sections.
- Perform other duties as assigned.
Benefits
- Paid time off.
- Career pathways and career tuition assistance.
- Continuing education unit (CEU) opportunities.
- Academic partnership with the Medical College of Wisconsin.
- Referral bonuses.
- 403(b) retirement plan.
- Medical insurance.
- Dental insurance.
- Vision insurance.
- Life insurance.
- Short- and long-term disability coverage.
- Free workplace clinics.
- Employee assistance programs.
- Adoption assistance.
- Healthy Contributions.
- Care@Work.
- Moving assistance.
- Discounts on gym memberships, travel, and other work-life benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
