Pharmacy Tech Revenue and Audit Specialist

Job Summary

The Revenue & Audit Specialist is responsible for ensuring accurate billing, reimbursement, and compliance for pharmacy claims. The position will operate as a liaison between patient, pharmacy, insurance provider, and other involved third parties to drive excellent customer service and profitability to Froedtert Health. The position is responsible for timely internal auditing of retail pharmacy practice as well as handling all external audit functions. Operates within the guidelines of Chapter 7 of the Wisconsin Statutes and Administrative Code - Pharmacy Examining Board - Pharmacy Practice Sections. Other duties as assigned.

Location & Schedule

US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility. This job is HYBRID. FTE: 1.000000. Standard Hours: 40.00. Shift: 1. Shift Details: Monday-Friday day shift, no holidays or weekends.

Experience

• A minimum of 5 years of experience as a pharmacy technician is required.
• Experience with third party insurances including, but not limited to, Medicare and Medicaid is required.
• A minimum of 7 years of senior level pharmacy experience is preferred.

Education

• High School Diploma or GED equivalency is required.
• Bachelor's Degree is preferred.

Skills

• Proven attention to detail.
• Outstanding organizational and follow-up skills.
• Ability to analyze EOB (Explanation of Benefits) statements.
• Experience with various computer systems and programs, including word processing, spreadsheet, and presentation.

Licensure

• Application for Wisconsin registration as a Pharmacy Technician is required by hire date and must be obtained within 12 months of hire.
• Staff hired into this role prior to 3/31/23 must have applied for Wisconsin registration by 3/31/23 and have until 3/31/24 to obtain registration.
• Certification through Pharmacy Technician Certification Board (CPhT) or National Healthcare Association (ExCPT) is required within 6 months of hire.

Perks & Benefits

At Froedtert Health, Froedtert Health offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:

• Paid time off
• Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

About Froedtert Health

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.