Pharmacy Revenue Cycle Lead - Denials & PA Support

Methodist Le Bonheur Healthcare; Memphis (TN); On-site; USD 65,000 - 90,000; Full time

Job summary

Methodist Le Bonheur Healthcare in Memphis is seeking a Pharmacy Revenue Cycle Specialist to support all phases of the pharmacy revenue cycle, including charge capture, claims submission, denial management, and financial reconciliation. You may lead the Prior Authorization Specialists and collaborate with the Revenue Cycle Analyst to improve reimbursement workflows and revenue integrity.

Ideal candidates will have 1-3 years in pharmacy billing and revenue cycle, familiarity with payor rules, and

Qualifications

• Bachelor’s degree in health science or allied fields is required.
• Experience in pharmacy billing and revenue cycle is preferred.
• Familiarity with payor billing requirements and regulatory standards.

Responsibilities

• Review and reconcile pharmacy charges for claims submission.
• Monitor denials and assist with resolution and audits.
• Provide training and collaborate with cross-functional teams.

Skills

Billing knowledge

Leadership

Communication

Attention to detail

Microsoft Office

Education

Bachelor's Degree Health Science

Bachelor's Degree Allied Health

Bachelor's Degree Computer sciences

Bachelor's Degree Healthcare Administration

Bachelor's Degree Information Systems

High School Diploma or Equivalent

Tools

Excel

Word

Outlook

EHR

Billing platforms

Job description

Methodist Le Bonheur Healthcare in Memphis is seeking a Pharmacy Revenue Cycle Specialist to support all phases of the pharmacy revenue cycle, including charge capture, claims submission, denial management, and financial reconciliation. You may lead the Prior Authorization Specialists and collaborate with the Revenue Cycle Analyst to improve reimbursement workflows and revenue integrity.

Ideal candidates will have 1-3 years in pharmacy billing and revenue cycle, familiarity with payor rules, and