Pharmacy Audit/Reimbursement Specialist

LifeSpan Pharmacy, a CarDon & Associates partner, is now seeking a Pharmacy Audit/Reimbursement Specialist. Weekly pay and great benefits. BASIC FUNCTION: Primary responsibility is to work and respond to audit requests from various third parties Secondary responsibility will be to keep up with audit/reimbursements trends to help with purchasing and formulary decisions. This may include tasks in 3rd party reconciliation and deposits EDUCATION, QUALIFICATIONS, CREDENTIALS: Indiana pharmacy technician license preferred but not required Understanding of Medicare/Medicaid/Insurance pay types, billing codes, and brand/generic medications required Working knowledge of Microsoft Excel and long-term care pharmacy applications such as FrameworkLTC, FrameworkECM, and Sage300 accounting software strongly preferred. Multi-tasking and experience in leading a team is preferred. RESPONSIBLE TO: Billing Manager/Informatics Pharmacist ESSENTIAL FUNCTIONS: The Pharmacy Audit/Reimbursement Specialist must be able to perform each essential function effectively to be successful in this position. This is a hybrid remote position that may require months in the office before remote work, and then 1-2 office days/week thereafter Audit Requests (40%) Respond to audit requests in a timely manner with frequent updates to management. Identify trends and provide feedback to team leads to ensure compliance from all departments. Reconciliation and Cash Posting (20%) Reconciliation and Cash Posting o Reconciliation of 3rd Party Remits o Posting of Private Pay Payments Maintaining & Balancing Daily Cash Flow Spreadsheet Collections and Customer Relations (10%) Maintains assigned facilities accounts receivable aging, investigating and resolving non-payment issues Private Pay accounts receivable aging, collections Third Party accounts receivable aging, collections, contract compliance Pre-billing and Billing (10%) Reviews private pay statements for assigned facilities, giving past dues to collections, credit balances to supervisor or manager for investigation, and mailing out the remainder in a timely manner Resolves questions and/or concerns from facilities regarding monthly statements, making corrections or adjustments as needed Prepare price quotes as requested Special Pricing of Resident Accounts (10%) Set up residents accounts appropriately Monitor and review each account prior to month end review Correspond special pricing changes to residents as required General Office (10%) Filing Attends training as provided in order to improve self and quality of work Audits Pulling necessary paperwork Accepts other duties as assigned The preceding list of essential functions is not exhaustive and may be supplemented. KNOWLEDGE, SKILLS, AND ABILITIES: Advanced computer skills, including moderate excel & adobe functions Ability to exhibit effective verbal and written communication skills Ability to understand and exhibit a willingness to perform new job processes Attributes and Attitude Characteristics Maintains high level of attendance and punctuality Communicates in a positive and respectful manner with customers and internal team members Exhibits a "team work" attitude o Supports LifeSpan's mission and high standard of customer service