A fantastic opportunity awaits at a healthcare institution in Boston, MA, as part of the Pharmacy Complex Claims team. This role involves managing the intricate pharmacy revenue cycle, demanding collaboration and specialized expertise to enhance workflows. The focus will be on pursuing accurate reimbursement and compliance, ultimately maximizing client satisfaction and provider profitability. The role offers a blend of financial, pharmacy, and medical revenue cycle expertise in a dynamic setting.
Key Details
- Assignment Type: Locum Tenens
- Setting: Outpatient Clinic
- Start Date: ASAP
- Schedule: Monday–Friday, 8:00 AM – 5:00 PM
- Patient Population: Adult
- Location: Boston, MA
- Stipends: Housing and travel options can be discussed for non-local candidates
Benefits
- Weekly direct deposit
- Malpractice insurance with tail coverage
- Supportive credentialing assistance
- Lodging and mileage reimbursement
- Flexible scheduling
Job Responsibilities
- Research, resolve, and prepare claims that have not passed payer edits.
- Serve as the subject matter expert for strategic provider relationships and claims.
- Monitor rejections on all claims to improve system efficiencies.
- Collaborate with other revenue cycle departments to improve denials and avoidable write-offs.
Qualifications
- Bachelor’s degree in Business, Healthcare, or a related field or equivalent experience.
- Certified Pharmacy Technician (preferred) and Coding Certification CPC, RHIT (preferred).
- 1 to 3 years of experience in healthcare revenue cycle, patient accounting, or billing.
Working Hours
- Monday–Friday, 8:00 AM – 5:00 PM
Skills
- Advanced knowledge of professional billing flows and revenue cycle tasks.
- Strong analytical and problem-solving abilities for system processes and workflows.
- Interpersonal skills to work across various departments and levels of management.
- Proficiency in interpreting claim edits, coding systems, and billing requirements.
Join this engaging setting to leverage your expertise and make a meaningful impact in pharmacy revenue cycle management.