Payer Audit Analyst — Revenue Cycle Champion

PharMerica; Vancouver (WA); On-site; USD 28,000 - 29,000; Full time

Job summary

PharMerica is seeking a Payer Audit Specialist to receive and process payer audit requests for select Pharmerica locations. You will review requests, compile documentation, and identify items needed to respond efficiently, while ensuring quality in medical and billing materials before submission.

Applicants should have 2–4 years in revenue cycle management with payer experience, strong communication skills, and the ability to multi-task within regulatory guidelines.

Qualifications

• Minimum 2–4 years in revenue cycle management with payer experience.
• Knowledge of Managed Care, Commercial, Government, Medicare and Medicaid reimbursement.
• Experience with automated billing systems; CPR+ and Waystar a plus.
• Strong attention to detail and ability to manage workflow volumes.
• Excellent verbal and written communication skills.

Responsibilities

• Process and track payer audit requests to final resolution.
• Document, compile, and classify audit materials for responses.
• Coordinate with departments to ensure proper review and appeals.
• Analyze audit trends and report issues to the RCM Ancillary Services team.
• Maintain adherence to state/federal regulations and company policies.
• Manage daily tasks to meet deadlines and performance metrics.

Skills

Revenue cycle management

CPR+ & Waystar

Medical coding ICD-9/10 CPT HCPCS

MS Office; 40 WPM

Verbal & written communication

Regulatory knowledge (federal/state)

Education

High School diploma/GED

Some college a plus

Tools

CPR+

Waystar

Job description

PharMerica is seeking a Payer Audit Specialist to receive and process payer audit requests for select Pharmerica locations. You will review requests, compile documentation, and identify items needed to respond efficiently, while ensuring quality in medical and billing materials before submission.

Applicants should have 2–4 years in revenue cycle management with payer experience, strong communication skills, and the ability to multi-task within regulatory guidelines.