Pharmacy Operations & Revenue Integrity Coordinator

Alameda Health Sytem; Oakland (CA); On-site; USD 55,000 - 74,000; Full time

Benefits offered by this job

Comprehensive benefits program

Job summary

Alameda Health System is seeking a Pharmacy Administrative Specialist to support billing, financial reconciliation, and coordination of Pharmacy Services projects in Oakland, CA. The role involves ensuring accurate outpatient and inpatient billing, maintaining 340B program compliance, and partnering with Finance, IT, and vendors to uphold cost controls.

The position requires an Associate's degree and one year of related experience, with a California Pharmacy Technician license preferred.

Qualifications

• Associate's degree required.
• One year of experience coordinating specialty pharmacy services in an administrative/operational role.
• Registered Pharmacy Technician with the California State Board of Pharmacy.

Responsibilities

• Identify concerns and help corrective plans for billing and financial reconciliation.
• Coordinate Pharmacy Services projects and support leadership.
• Oversee monthly claim reconciliation and EOB reviews.
• Maintain reports for inpatient/outpatient billing reconciliation.
• Act as point person for charging and payment discrepancy resolution.
• Monitor outpatient charges for proper billing and reimbursement.
• Coordinate Medi-Cal share of cost tracking and status resolutions.
• Manage patient account revenue integrity and refunds.
• Assist leadership with third-party payer contracts and pricing updates.
• Track cash handling and documentation of cash-related payments.
• Develop partnerships with Finance, IT, Materials, Contracts, and vendors.
• Track budgets, PO’s, invoices, reimbursements, and contract approvals.
• Support budgets, service analysis, and performance-improvement initiatives.
• Assist with 340B program coordination and compliance policy.
• Conduct internal audits to ensure regulatory compliance.
• Maintain reports on prior authorization, delivery, and discharge wait times.
• Assist leadership in monitoring productivity and performance metrics.
• Serve as primary contact for check reconciliation and compliance with third parties.

Skills

Billing reconciliation

Financial reporting

Operations coordination

Stakeholder collaboration

Education

Associate's degree

Bachelor's degree

Tools

Pharmacy software

Budgeting tools

Job description

Alameda Health System is seeking a Pharmacy Administrative Specialist to support billing, financial reconciliation, and coordination of Pharmacy Services projects in Oakland, CA. The role involves ensuring accurate outpatient and inpatient billing, maintaining 340B program compliance, and partnering with Finance, IT, and vendors to uphold cost controls.

The position requires an Associate's degree and one year of related experience, with a California Pharmacy Technician license preferred.