Pharmacy Revenue Representative

Location: Remote

Pay

$15.27 - $24.15 per hour

Responsibilities

The Revenue Representative is responsible for applying fundamental knowledge of healthcare revenue cycle practices and procedures as it relates to posting, reconciling, researching, analyzing and resolving insurance claims and patient balances. The Revenue Representative provides support to the Revenue Manager for the day-to-day financial operations of the pharmacy.

• Post, reconcile, research, analyze, and resolve insurance claims and patient balances
• Support the Revenue Manager in day-to-day financial operations of the pharmacy

Requirements

Education

• High School Diploma or equivalent required

Previous Experience

• Minimum of one (1) year experience in Pharmacy/Medical accounts receivable and collections or comparable experience is required
• Two (2) or more years is preferred
• At least one (1) year of prior work experience in the medical field with experience in benefits verification and medical billing preferred

Core Capabilities

• Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management, and organizational skills. Must be detail-oriented with the ability to exercise independent judgment.
• Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
• Communication Skills: Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback.
• Customer Service & Organizational Awareness: Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness, and operational excellence through best practices, strong business and political acumen, collaboration, and partnerships, as well as positive employee, physician, and community relations.
• Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability to work independently with limited supervision. Ability to work remotely effectively as required. Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.

Computer Skills

• Proficiency in MS Office Word, Excel, PowerPoint, and Outlook required
• Proficiency in CPR+ (Complete Patient Records) and ORCA software preferred
• Working knowledge of ONCO EMR (Electronic Medical Records) preferred

Certifications/Licenses

• Active Registered Pharmacy Technician license in state of residence preferred
• Pharmacy Technician certification (PTCB) preferred

Schedule

• Monday to Friday: 8:00 AM – 5:00 PM
• Saturday: 9:00 AM – 1:00 PM as required for business needs