Sr. Collections Specialist - Pharmacy - Lakeland

Publix Super MarketsLakeland, FL

About The Position

The Senior Collections Specialist – Pharmacy focus on collections, auditing, and analyzing Pharmacy sales both on the General Ledger (GL) and store profit & loss (P&L), 3rd Party Insurance Carrier Pharmacy Receivable, Pharmacy write-offs, and Pharmacy Accounts Payable accounts, to ensure that all money is accounted for and being collected from the insurance carriers, pharmacy benefits management (PBM) companies to reduce days sales outstanding (DSO) and prevent write-offs. Responsibilities include: Managing and improving the aging report on unpaid pharmacy claims, collecting money for all pharmacy 3rd party sales receivables, as well as designing and implementing internal controls to support new business initiatives Analyzing and preparing routine and ad-hoc reporting identifying operational fluctuations in account balances and/or transactional data within the various Pharmacy systems to ensure accuracy and enable sound, fact-based decisions related to the Pharmacy 3rd Party Sales account Understanding and complying with Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Sarbanes-Oxley section 404 (SOX 404)

Requirements

  • Bachelor’s degree in Accounting, Finance or another analytical discipline or equivalent experience
  • 3 years’ experience in accounting or any retail position
  • knowledge of Accounting Principles and Accounts Receivable functions
  • intermediate knowledge of Excel, Access, Internet, and Outlook
  • basic knowledge of Microsoft Access
  • verbal and written communication skills
  • analytical thinking skills
  • ability to handle a variety of tasks and responsibilities with multiple interruptions
  • ability to work under deadlines and handle the pressure of deadlines
  • technical skills
  • must be self-motivated
  • must be flexible and highly productive
  • must exhibit professionalism and the ability to deal with confidential subject matter
  • must be able to work a variable works schedule

Nice To Haves

  • Master’s degree in Accounting, Finance or another analytical discipline
  • 5 years’ experience in accounting or any retail position
  • HIPAA certification
  • knowledge of Continuous Quality Improvement process methodology
  • knowledge of Pharmacy Operations, Terminology of Insurance carriers
  • knowledge and understanding of Pharmacy systems (Inmar, ERX, terminology, etc.)
  • knowledge of SOX requirements and controls relating to Accounts Receivable, as well as HIPAA
  • ability to work in accordance with the HIPAA Compliance policy

Responsibilities

  • Managing and improving the aging report on unpaid pharmacy claims
  • Collecting money for all pharmacy 3rd party sales receivables
  • Designing and implementing internal controls to support new business initiatives
  • Analyzing and preparing routine and ad-hoc reporting identifying operational fluctuations in account balances and/or transactional data within the various Pharmacy systems to ensure accuracy and enable sound, fact-based decisions related to the Pharmacy 3rd Party Sales account
  • Understanding and complying with Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Sarbanes-Oxley section 404 (SOX 404)

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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