Pharmacy Revenue Cycle Analyst

Key responsibilities: Research and resolve claims that have not passed payer edits, initiating actions to address rejected drug claims Serve as a subject matter expert for provider relationships, reimbursement issues, and claims management Collaborate with revenue cycle departments to improve claim denials and enhance billing accuracy

Required qualifications: Bachelor's degree in Business, Healthcare, or a related field, or equivalent work experience 1 to 3 years of experience in healthcare, coding, finance, or revenue cycle management, preferably in a Medical Center setting Advanced knowledge of professional billing flows, coding systems, and Medicare billing guidelines Preferred certifications include Certified Pharmacy Technician and Coding Certification (CPC, RHIT) Strong analytical skills and ability to interpret medical and billing terminology