Pharmacy Revenue Integrity Specialist

Ohio State University; Columbus (OH); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off + holidays

State retirement plan

Job summary

The Ohio State University Outpatient Pharmacy is seeking a Pharmacy Audit and Reconciliation Coordinator to optimize the payment cycle for retail and specialty pharmacy claims. You will ensure accurate workflow of pharmacy accounts, review payments for accuracy, and align collections with contracts across eight OSU Outpatient Pharmacy sites.

This role requires a Bachelor's degree or equivalent, a Certified Pharmacy Technician credential, and 2 years of relevant experience.

Qualifications

• Bachelor's Degree or equivalent combination of education and experience.
• Certified Pharmacy Technician.
• 2 years of relevant experience required.
• 2-4 years of relevant experience preferred.

Responsibilities

• The Revenue Integrity Specialist optimizes the payment cycle for retail and specialty pharmacy claims.
• Reviews payments for accuracy, aligns collections with contracts, and follows up with insurance companies.
• Secures third-party payments, ensures compliance with payer contracts, and maintains accurate secondary billing processes.
• Responds to audit requests and defends reimbursement challenges for all OSU Outpatient Pharmacy sites.

Skills

Certified Pharmacy Technician

2+ years of relevant experience

Experience with pharmacy claims

Education

Bachelor's Degree or equivalent combination of education and experience

Job description

The Ohio State University Outpatient Pharmacy is seeking a Pharmacy Audit and Reconciliation Coordinator to optimize the payment cycle for retail and specialty pharmacy claims. You will ensure accurate workflow of pharmacy accounts, review payments for accuracy, and align collections with contracts across eight OSU Outpatient Pharmacy sites.

This role requires a Bachelor's degree or equivalent, a Certified Pharmacy Technician credential, and 2 years of relevant experience.