Specialist Billing Revenue Pharmacy

NewYork-Presbyterian HospitalNew York, NY
304d$97,000 - $145,000

About The Position

In this role you will be responsible for charges, revenue, and compliance related to Pharmacy billing. Ensures communication on these issues between the Department of Pharmacy, Information Services, Accounts Receivable. Works with pharmacy, procedure, and ambulatory areas to understand reimbursement for medications used in these areas and promote decisions and systems that comply with regulatory requirements. Audits billing to ensure charges are accurate, timely, and compliant. Tracks and trends billing problems and works with others to identify and correct root causes of errors. Works with pharmacy staff, IT, and finance to develop processes and systems that will maximize accurate and compliant charges. This position will be day flex.

Requirements

  • Bachelor's degree or related experience.
  • Computer literacy.
  • Knowledge of management and financial skills.
  • Understanding of healthcare administration and quality improvement processes.
  • Experience with manipulating large databases.
  • Ability to analyze data and prepare reports that convey key messages.
  • Ability to navigate pharmacy information systems and medication administration records.

Nice To Haves

  • Minimum of ten years of experience in billing/revenue, hospital operations, and/or financial management.
  • Knowledge of hospital-based medication billing/revenue.
  • Experience with pharmacy billing.

Responsibilities

  • Responsible for charges, revenue, and compliance related to Pharmacy billing.
  • Ensure communication on billing issues between the Department of Pharmacy, Information Services, and Accounts Receivable.
  • Work with pharmacy, procedure, and ambulatory areas to understand reimbursement for medications.
  • Promote decisions and systems that comply with regulatory requirements.
  • Audit billing to ensure charges are accurate, timely, and compliant.
  • Track and trend billing problems and work with others to identify and correct root causes of errors.
  • Collaborate with pharmacy staff, IT, and finance to develop processes and systems for accurate and compliant charges.

Benefits

  • Comprehensive and competitive benefits that support you and your family in every aspect of life.
  • Opportunities for personal and professional growth.
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