Pharmacy Revenue Cycle Specialist — Drive Denials & Payments

Shields Health Solutions; Stoughton (MA); On-site; USD 55,000 - 70,000; Full time

Job summary

A healthcare solutions provider in Massachusetts seeks a Pharmacy Accounts Receivable Specialist to manage the pharmacy revenue cycle and support various health system partners. This entry-level full-time position requires a Bachelor's degree or equivalent experience, strong problem-solving skills, and knowledge of revenue cycle processes. The salary range is $55,000 to $70,000 plus bonuses, depending on experience and location.

Qualifications

• Bachelor’s degree or relevant work experience required.
• Strong knowledge of revenue cycle process and third-party insurance.
• Ability to work independently with minimal supervision.

Responsibilities

• Manage and oversee payer and patient revenue cycle management processes.
• Develop operational workflows to ensure billing compliance.
• Investigate outstanding claims receivables for collectability.

Skills

Strong problem-solving capabilities

Strong oral and written communication skills

Ability to work independently

Knowledge of pharmacy dispensing systems

Strong knowledge of revenue cycle process

Education

Bachelor’s degree or equivalent work experience

Tools

Microsoft Office Suite (Excel)

Job description

A healthcare solutions provider in Massachusetts seeks a Pharmacy Accounts Receivable Specialist to manage the pharmacy revenue cycle and support various health system partners. This entry-level full-time position requires a Bachelor's degree or equivalent experience, strong problem-solving skills, and knowledge of revenue cycle processes. The salary range is $55,000 to $70,000 plus bonuses, depending on experience and location.