Details

# Position Description & Details

Full Time Pharmacy Reconciliation Specialist (MIN0100)

Job Duties Include:

-Review and reconcile all adjudicated pharmacy claims from all pharmacy departments company-wide

-Review and reconcile paid claims against pharmacy charge accounts

-Contact payers and seek reimbursement for overdue payments

-Working proficiently with Microsoft Windows systems including Word, Excel, Outlook, and Teams

-Working proficiently with computer-based data systems that help track, document, and file pharmacy information and data

-Generating and interpreting various reports through computer-based software systems

-Maintain a high level of professionalism, teamwork, and confidentiality.

-Understanding and maintaining compliance and confidentiality with HIPAA and Personal Health Information (PHI).

-Learning and understanding several reimbursement structures for different payers such as Medicare, Medicaid, Inclusa, CCCW, and other third parties.

-Working effectively as a team within the office space with other support associates.

-Reporting discrepancies or troubleshooting to Director of Pharmacy and CFO as needed.

-Assist with other projects as needed such as audits, reporting, answering phones, and special events.

 

**Full Time Hourly Position

**Schedule:  Typically Monday-Friday

**Job Reports to:  CFO

 

Benefits Include:

-Health Insurance

-Dental Insurance

-Vision Insurance

-Company provided Life, ADD, and STD coverage.

-Long Term Disability

-401k Retirement Benefit with 4% company match

-PTO

-Various company discounts (Trig's, Trig's Pharmacy, Tone Zone Fitness)

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