Pharmacy Business Support Specialist

Department:
38500 Retail Pharmacy - Pharmacy Business Operations
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
M-F 8am-5pm
The requirement for a Phar Tech license is not valid for this role. This should be optional because this role is administrative and not impacted by pharmacy knowledge.
Pay Range:
$21.85 - $32.80
Position Highlights:
Full-Time; 40 hours/week, Monday-Friday, 8am-5pm
Pharmacy Business Operations
On-site at Piedmont Plaza 1 in Winston Salem
Major Responsibilities:
Reconciles pharmacy claims to third party and interdepartmental payments. Tracks and reports payments, receivables, and bad debt. Reviews EOB’s and reconciles bank deposits.
Manage documentation and assist in our pharmacy financial assistance program processes.
Utilizes payer and banking portals to research payment denials and exceptions. Contacts third party payers to resolve issues resulting in denials/underpayments. Responds to payer requests for supporting documentation.
Communicates payment and remittance information to external billing agencies.
Submits manual claims, as necessary. Monitors claim status to ensure proper payment is received.
Ensures that Medicare Part B documentation is completed and maintained to support compliant billing. Provides billing compliance training for pharmacy staff.
Compiles relevant supporting documentation in response to payer audits
Manages patient billing and receivables. Generates patient invoice statements and processes payments. Administers outpatient pharmacy charity care and extended payment programs.
Answers pharmacy billing phone line and assist patients with questions.
Assists with payer credentialing. Compiles and submits necessary documentation.
Submits pharmacy invoices for payment. Ensures pharmacy is invoiced properly and vendors are paid in a timely fashion.
Maintains financial data and generates monthly reports to support month-end accounting entries.
Produces ad hoc management reports as necessary.
Seeks ways to minimize waste and reduce costs. Works within budget guidelines.
Education and Experience:
High school diploma or equivalent.
Typically, 2 years’ experience required.
Pharmacy Technician experience preferred.
Financial analyst or staff accounting experience preferred.
Licensure, Registration, and/or Certification:
No certification or license required.
Registration or licensure with state board of pharmacy, per state of employment requirements preferred.
Certification through Pharmacy Technician Certification Board (CPhT) or National Healthcareer Association (ExCPT) preferred.
Knowledge, Skills & Abilities Required:
Proficient with calculator, PC, scanner, and copy machine.
Proficient with Microsoft Excel, Word, and Outlook.
Proficient with Adobe Pro.
Ability to multi-task and be self-motivated.
Strong mathematical skills and the ability to perform accurate detailed work are a must.
Ability to work in an environment with interruptions and moderate noise levels.
Physical Requirements and Working Conditions:
Primarily works within an administrative office environment.
Requires occasional walking, standing, and lifting up to 25 pounds of material.
May be required to occasionally stretch, bend, twist, squat, and kneel to perform job.
Must be able to perform manipulative skills such as writing, typing, and data entry into the computer system.
Must have use of both hands, be able to see clearly, and read small types such as that on some departmental forms and labels.
Must be able to speak and be understood by others to communicate effectively.
Must project a professional image and be team oriented.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive list of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Skills
Excel, Accounting, Data Entry, Documentation

Experience
2+ yrs