Pharmacy Business Support Specialist

Atrium Health Wake Forest Baptist; Winston-Salem (NC); On-site; USD 52,000 - 76,000; Full time

Job summary

Atrium Health Wake Forest Baptist is seeking a Pharmacy Billing Operations Associate to support reconciliations, payments tracking, and billing processes on-site in Winston-Salem. The role emphasizes accuracy, vendor payments, and financial controls in a busy healthcare billing environment.

The position requires a high school diploma, about two years of related experience, and strong Excel/Office skills. Pharmacy tech experience is preferred, with potential for professional growth within the

Qualifications

• High school diploma or equivalent.
• Typically, 2 years’ experience required.
• Pharmacy Technician experience preferred.
• Financial analyst or staff accounting experience preferred.

Responsibilities

• Reconcile pharmacy claims with third party and interdepartmental payments; track payments, receivables and bad debt; review EOBs and deposits.
• Manage documentation and assist in the pharmacy financial assistance program processes.
• Use payer and banking portals to research denials and exceptions; contact payers to resolve issues and respond to requests.
• Communicate payment and remittance information to external billing agencies.
• Submit manual claims as needed; monitor status to ensure proper payment.
• Maintain Medicare Part B documentation to support billing; provide billing compliance training.
• Compile documentation for payer audits.
• Manage patient billing and receivables; generate invoices; administer charity care and extended payment programs.
• Answer pharmacy billing line; assist patients with questions.
• Assist with payer credentialing; compile necessary documentation.
• Submit pharmacy invoices; ensure invoicing and timely vendor payments.
• Maintain financial data and generate monthly reports; support month-end entries.
• Produce ad hoc management reports; seek cost-saving opportunities within budgets.

Skills

Calculator proficiency

PC literacy

Excel

Word

Outlook

Adobe Pro

Multitasking

Math skills

Education

High school diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

Outlook

Adobe Pro

Job description

• Full-Time; 40 hours/week, Monday-Friday, 8am-5pm
• Pharmacy Business Operations
• On-site at Piedmont Plaza 1 in Winston Salem

Position Highlights

• Full-Time; 40 hours/week, Monday-Friday, 8am-5pm
• Pharmacy Business Operations
• On-site at Piedmont Plaza 1 in Winston Salem

Major Responsibilities

• Reconciles pharmacy claims to third party and interdepartmental payments. Tracks and reports payments, receivables, and bad debt. Reviews EOB’s and reconciles bank deposits.
• Manage documentation and assist in our pharmacy financial assistance program processes.
• Utilizes payer and banking portals to research payment denials and exceptions. Contacts third party payers to resolve issues resulting in denials/underpayments. Responds to payer requests for supporting documentation.
• Communicates payment and remittance information to external billing agencies.
• Submits manual claims, as necessary. Monitors claim status to ensure proper payment is received.
• Ensures that Medicare Part B documentation is completed and maintained to support compliant billing. Provides billing compliance training for pharmacy staff.
• Compiles relevant supporting documentation in response to payer audits
• Manages patient billing and receivables. Generates patient invoice statements and processes payments. Administers outpatient pharmacy charity care and extended payment programs.
• Answers pharmacy billing phone line and assist patients with questions.
• Assists with payer credentialing. Compiles and submits necessary documentation.
• Submits pharmacy invoices for payment. Ensures pharmacy is invoiced properly and vendors are paid in a timely fashion.
• Maintains financial data and generates monthly reports to support month-end accounting entries.
• Produces ad hoc management reports as necessary.
• Seeks ways to minimize waste and reduce costs. Works within budget guidelines.

Education And Experience

• High school diploma or equivalent.
• Typically, 2 years’ experience required.
• Pharmacy Technician experience preferred.
• Financial analyst or staff accounting experience preferred.

Licensure, Registration, And/or Certification

• No certification or license required.
• Registration or licensure with state board of pharmacy, per state of employment requirements preferred.
• Certification through Pharmacy Technician Certification Board (CPhT) or National Healthcareer Association (ExCPT) preferred.

Knowledge, Skills & Abilities Required

• Proficient with calculator, PC, scanner, and copy machine.
• Proficient with Microsoft Excel, Word, and Outlook.
• Proficient with Adobe Pro.
• Ability to multi-task and be self-motivated.
• Strong mathematical skills and the ability to perform accurate detailed work are a must.
• Ability to work in an environment with interruptions and moderate noise levels.

Physical Requirements And Working Conditions

• Primarily works within an administrative office environment.
• Requires occasional walking, standing, and lifting up to 25 pounds of material.
• May be required to occasionally stretch, bend, twist, squat, and kneel to perform job.
• Must have use of both hands, be able to see clearly, and read small types such as that on some departmental forms and labels.
• Must be able to speak and be understood by others to communicate effectively.
• Must project a professional image and be team oriented.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive list of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.