State Licensed Recovery Analyst

Prime Therapeutics LLC; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare company is seeking a Recovery & Resolution Analyst to support pharmacy and client needs through collection efforts, audit evaluations, and reporting. Candidates should have a bachelor's degree in Finance or Business, National Pharmacy Technician Certification, and 2 years in pharmacy operations, including claims processing. This is a remote position open to eligible candidates in the United States.

Qualifications

• Bachelor's degree in Finance, Business, or equivalent work experience; HS diploma or GED required.
• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT).
• 2 years of experience in pharmacy operations, including claims processing and insurance or billing experience.

Responsibilities

• Perform and document collection efforts including claim adjustments and coordination with external collection agencies.
• Evaluate audits and claims for potential recoupment, ensuring accuracy and making recommendations as needed.
• Prepare reporting on recovery processes to support pharmacy and client needs.

Skills

Collection efforts documentation

Claims processing

Audit evaluation

Reporting preparation

Education

Bachelor's degree in Finance or Business

National Pharmacy Technician Certification

Job description

A company is looking for a Recovery & Resolution Analyst - Remote.

Key Responsibilities

• Perform and document collection efforts including claim adjustments and coordination with external collection agencies
• Evaluate audits and claims for potential recoupment, ensuring accuracy and making recommendations as needed
• Prepare reporting on recovery processes to support pharmacy and client needs

Required Qualifications

• Bachelor's degree in Finance, Business, or a related field, or equivalent work experience; HS diploma or GED required
• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
• 2 years of experience in pharmacy operations, including claims processing and insurance or billing experience
• Must be eligible to work in the United States without visa sponsorship
• Current Registration with the State Board of Pharmacy is preferred