Pharmacy Revenue Integrity Coordinator

The Ohio State University Wexner Medical Center; Columbus (OH); On-site; USD 46,914 - 120,222; Full time

Job summary

A leading healthcare institution is hiring a Pharmacy Audit and Reconciliation Coordinator to manage the pharmacy claims workflow and drive revenue cycle improvements. This role requires a combination of technical skills in billing and experience as a pharmacy technician, ensuring compliance with industry regulations. Successful candidates will have strong analytical and communication skills, and a commitment to maintaining accurate and efficient claims processing.

Qualifications

• Must be registered technician with the State of Ohio Board of Pharmacy.
• Hold active PTCB/NHA certification prior to start date.
• 3 years experience as a pharmacy technician or equivalent required.

Responsibilities

• Optimizes the payment cycle for pharmacy claims.
• Ensures accurate workflow and follows up with insurance companies.
• Contributes to scalable process improvements in revenue cycle.

Skills

Advanced knowledge of pharmacy benefit billing

Microsoft Excel

Microsoft Teams

Education

Bachelor’s in Business, healthcare or related field

Job description

A leading healthcare institution is hiring a Pharmacy Audit and Reconciliation Coordinator to manage the pharmacy claims workflow and drive revenue cycle improvements. This role requires a combination of technical skills in billing and experience as a pharmacy technician, ensuring compliance with industry regulations. Successful candidates will have strong analytical and communication skills, and a commitment to maintaining accurate and efficient claims processing.