Retail Pharmacy Revenue Optimization Specialist

INSPIRA HEALTH NETWORK LIFE INC; Mullica Hill (NJ); On-site; USD 70,000 - 90,000; Full time

Job summary

Inspira Health is seeking a Retail Pharmacy Revenue Cycle Specialist in New Jersey to drive A/R follow-up, payment posting, denial resolution, and reconciliation within Epic Willow Ambulatory and PB workflows. The role partners with Pharmacy, Revenue Cycle, and Finance to ensure accurate revenue capture and timely cash flow.

Qualified candidates have an Associate’s or Bachelor’s degree and 2+ years in healthcare billing or revenue cycle operations; experience with PBM workflows and EHR systems

Qualifications

• Education in business, healthcare administration, or related field required.
• 2+ years in healthcare billing, accounts receivable, pharmacy operations, or related healthcare financial operations required.
• Experience with PBM workflows, remittance reconciliation, or denial management preferred.

Responsibilities

• Execute and perform retail pharmacy revenue cycle operations within Epic Willow Ambulatory and PB.
• Own accounts receivable follow-up, payment posting, denial resolution, and payment reconciliation to ensure accurate revenue capture.
• Collaborate with Pharmacy, Revenue Cycle, and Finance to align claim adjudication and remittance processing.

Skills

Revenue cycle knowledge

A/R follow-up

Payment posting

Denial management

EHR navigation

Analytical skills

Cross-functional collaboration

Education

Associate’s degree

Bachelor’s degree

Tools

Epic Willow Ambulatory (WAM)

Job description

Inspira Health is seeking a Retail Pharmacy Revenue Cycle Specialist in New Jersey to drive A/R follow-up, payment posting, denial resolution, and reconciliation within Epic Willow Ambulatory and PB workflows. The role partners with Pharmacy, Revenue Cycle, and Finance to ensure accurate revenue capture and timely cash flow.

Qualified candidates have an Associate’s or Bachelor’s degree and 2+ years in healthcare billing or revenue cycle operations; experience with PBM workflows and EHR systems