Pharmacy Revenue Cycle Analyst - Remote

Job description

Summary The Pharmacy Revenue Cycle Analyst is responsible for ensuring optimal revenue capture for pharmacy services provided at Baptist Health to help maximize financial performance. The Pharmacy Revenue Cycle Analyst II will monitor revenue cycle performance by reviewing pharmacy charge capture, correctly capturing and coding pharmacy charges, ensuring accuracy of inpatient and outpatient claims processing and reviewing denials and write-off assessments. The Analyst II utilizes expertise in coding to ensure efficiency and excellence for patients and providers. The Pharmacy Revenue Cycle Analyst II must be knowledgeable of pertinent pharmacy revenue cycle rules and regulations. This role will assist pharmacy leadership in developing and maintaining the payment models for managed care negotiations, payment auditing, and denial management. Job Description: Baptist Health is looking for a Remote Pharmacy Revenue Cycle Analyst to join our Pharmacy team! - Ensures billing for all inpatient, outpatient commercial, Medicare, Medicaid, MCOs, and community pharmacy PBM accounts by analyzing, updating, and correcting claims data. - Assures that billing procedures performed by the department...