North Carolina
8 days ago
Pharmacy Revenue Specialist
Job Summary Novant Health is seeking a Pharmacy Revenue Specialist to ensure that the system receives the optimal revenue from pharmaceuticals. This role collaborates with various departments to harmonize and improve the pharmacy charges, revenue, processes, billing, denial management, and collections across the system. This role also serves as a liaison between sites, managed care, and the business office to reduce the number of medication-related claim denials and outstanding claims. This role provides education to site and system stakeholders on how to capture revenue optimally and acts as the system expert on medication-related compliance billing and charging topics. This role develops policies and/or guidelines to increase revenue integrity, capture, and compliance. This role also participates in the financial analyses of any proposed changes to evaluate the charge and revenue implications. Finally, this role communicates the findings to management and oversees the implementation of approved recommendations to ensure appropriate revenue capture. Responsible for other duties as assigned under the direction of a pharmacist. #JoinTeamAubergine #NovantHealth #Pharmacy #Revenue #NHRxTech At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities. #novanthealthallied Responsibilities It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time. Our team members are part of an environment that fosters team work, team member engagement and community involvement. The successful team member has a commitment to leveraging diversity and inclusion in support of quality care. All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm". Qualifications Education: High School Diploma or GED, Required. 2 Year / Associate Degree, Required. Finance, Business, Pharmacy or Related Field. Experience: Minimum three years of hospital-based pharmacy/procurement experience, required. Minimum three years of medical billing/collections or relevant experience, preferred. Licensure/Certification: Current registry with applicable State Board(s) of Pharmacy, required. PTCB or NHA Certification within 60 days of hire, required. A minimum of two relevant specialized certificates/certifications from approved vendors such as PTCB, BPTS, or NPTA. One certificate/certification must be billing/reimbursement, but others may include by not limited to product verification, medication history, hazardous drug management, sterile compounding), required. Additional Skills (required): A high level of proficiency in all Microsoft Office products (Excel, PowerPoint, Word, and Access). Comfortable using various software packages. Excellent communication skills (written and oral). Acute attention to detail and accuracy. Excellent presentation, reporting and organization skills. Strong analytical skills. Critical thinker and problem solver. Strong time management skills with ability to prioritize work with minimal supervision. Effective decision maker with ability to exercise independent judgement in a wide range of scenarios. Ability to manage challenging relationships (internal and external) and drive results using available resources. Responds to requests and resolves in a timely manner. Ability to write procedure manuals/training documentation/flow charts and assist management with the coaching, training and development of the team. Commitment to quality. Ability to work under pressure in achieving tight deadlines. Working knowledge of contract terminology and basic contracting processes. Ability to drive/travel to multiple locations/facilities as needed. Aptitude for fostering positive relationships. Demonstrate strong ability to work within a team environment. Lead and facilitate productive discussions with other team members, stakeholders and vendors to achieve a consensus in a professional manner. Recognize and explain the need for compromise. Pre-empt and minimize conflict. Act to prevent and report misconduct, illegal and inappropriate behavior. Job Opening ID 56107
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