Pharmacy AR Specialist — Revenue Cycle & Denials

Prosper Infusion, Inc.; Tampa (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

CommUnityCare is seeking a Pharmacy AR Specialist in Tampa to manage buy-and-bill AR, verify insurance, submit claims, and resolve billing discrepancies. The role requires collaboration with pharmacy teams, healthcare providers, and payers to streamline the revenue cycle and minimize denials.

The position focuses on claims tracking, reconciliation of payments, insurance verification, and ongoing process improvements to ensure timely reimbursement.

Qualifications

• High School diploma or equivalent; college degree preferred.
• Minimum 2 years medical or pharmacy billing experience.
• Experience with buy-and-bill processes.
• Strong knowledge of ICD-10, CPT, HCPCS coding.
• HIPAA compliance and documentation best practices.
• Proficient in EMR and billing software.

Responsibilities

• Track claims, ensuring timely processing and reimbursement.
• Reconcile payments and balances for buy-and-bill meds.
• Verify insurance coverage and maintain payer communications.
• Identify denials and take corrective actions.
• Suggest process improvements to reduce denials.

Skills

Medical terminology

ICD-10 CPT HCPCS coding

HIPAA compliance

Communication skills

EMR proficiency

AR follow-up

Education

High School Diploma

College degree preferred

Tools

Billing software

EMR systems

Payer portals

Job description

CommUnityCare is seeking a Pharmacy AR Specialist in Tampa to manage buy-and-bill AR, verify insurance, submit claims, and resolve billing discrepancies. The role requires collaboration with pharmacy teams, healthcare providers, and payers to streamline the revenue cycle and minimize denials.

The position focuses on claims tracking, reconciliation of payments, insurance verification, and ongoing process improvements to ensure timely reimbursement.