
Description
General Summary of Position
We are actively recruiting for an experienced Pharmacy Revenue Cycle Analyst to join our system Pharmacy team at MedStar Health.
This role is responsible for Hospital Pharmacy billing practices at MedStar and supports ambulatory medication billing practices. Key to this role is investigation and resolution of billing issues and coordination with the Department of Pharmacy, Information Services, Rates and Reimbursement and Patient Financial Services at MedStar. Serves as a resource for pharmacy and ambulatory areas to optimize reimbursement for medications used in these areas and ensure that decisions and systems comply with regulatory requirements.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree Business or Computer Science required
Experience
- 5 years of related pharmacy hospital billing practices and charge master experience preferred
Licenses and Certifications
- ASHP Pharmacy Revenue Cycle Management Certificate required within 180 Days
Knowledge, Skills, and Abilities
- Knowledge Microsoft Office suite, Advanced Excel and spreadsheet skills Proficiency in chargemaster systems and data analysis tools Ability to meticulously review and verify complex data to ensure accuracy Knowledge of healthcare billing regulations and compliance standards for hospitals and ambulatory clinics. Strong problem-solving skills to identify issues, develop solutions, and implement corrective actions Deep understanding of pharmaceutical terminology, drug classifications, and medication administration practices HIPAA policies on Confidentiality
This position has a hiring range of $28.2 - $47.3
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