Revenue Cycle Coordinator III - Pharmacy

Responsibilities

• Compliance, auditing, reporting and general operational support for Ambulatory Pharmacy Services
• Focusing on Plans, organizing and conducting operations affecting Pharmacy revenue cycle, such as billing, collections, and payment processing
• Recommending and implementing processes to meet revenue cycle goals in collaboration with pharmacies
• Conducting related training, monitoring, analysis, and reporting on revenue cycle processes and results
• Recommending and implementing pharmacy-specific process improvement recommendations

Requirements

• A high level of familiarity with Willow Ambulatory Point of Sale system, part of the EPIC software platform
• Experience with EPIC post electronic files, self-pay payments, third-party commercial payments, reverse charge off accounts sent to the collection agency, manual insurance payments, denials, credit card payments and authorization
• Ability to process patient refunds, respond to incoming questions using telephone and electronic communication methods, troubleshoot problem identification, quantification, and resolution
• Assisting with the development of monthly schedule, outlining individual duties and responsibilities, including electronic file processing, manual payment posting, refunding, Self-Pay and CC Payments
• Entering problems, employee errors, transactions and questions into respective databases and following issues through to resolution
• Supporting payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance reports issued by external partners
• Reconciling client billing on a monthly basis
• Assisting with credit balance work queues as needed
• Recommending improvements to policies and procedures
• Assisting with the review of existing policy and procedure manuals

Qualifications

• Associate's degree and 1 year of relevant experience required
• Equivalent combination of education and experience may be considered
• Pharmacy or Medical Billing Experience preferred

Skills

• Must be able to work independently and communicate fluently via email, phone, and in-person

Benefits

The University of Rochester offers a comprehensive benefits package including health insurance, retirement plans, and paid time off.

Pay

Compensation Range: $20.99 - $28.34

Schedule

Full time, Scheduled Weekly Hours: 40