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Pharmacy Buy And Bill Ar Specialist.The Pharmacy Buy And Bill AR Specialist is responsible for managing the accounts receivable (AR) processes related to buy-and-bill medications.This includes veri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Type : Full time Role : Applifecycle Systems Engineer - UCCE and UCM Location : RTP, NC / Austin, TX / San Jose, CA (Onsite) JOB DESCRIPTION : Must Have Technical / Functional Skills : Preferred Loc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Our client is looking for an experienced Chief Revenue Officer to join their organization.This executive will be responsible for overseeing the company’s revenue generation strategies and exe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Everlywell is a digital health company pioneering the next generation of biomarker intelligence—combining AI-powered technology with human insight to deliver personalized, actionable health answers...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Financial Navigator, Revenue Cycle.The Patient Financial Navigator plays a vital dual role within UT Health Austin, supporting both the operational and mission-driven aspects of patient access.This...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Provide a brief description (5 to 7 sentences) of the essential functions / main areas of responsibility for the position with the overall importance reflecting what is essential to be successful in ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Crowe Healthcare Consulting is now Kodiak Solutions!.This role is with Kodiak Solutions, Crowe’s Healthcare Consulting business that is now its own standalone company.
Read more about the Healthcare...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
With a mantra of Empowering Human Potential, Hanger, Inc.O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service.Ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Visa is a world leader in payments and technology, with over 259 billion payments transactions flowing safely between consumers, merchants, financial institutions, and government entities in more t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations.
PSA is growing rapidly and we are seeking talented pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
As the Strategic Director of Client Success, you will play a critical role in driving the success of our clients within the revenue cycle management sector.
You will drive and inspire a large, dynam...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
This role is part of the accounting department based in Austin, Texas.The Revenue Accountant will be responsible for maintaining revenue recognition practices and ensuring accounting treatment alig...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
This position will be a member of the WhiteWater accounting department in Austin.Responsibilities include maintaining revenue recognition and ensuring accounting treatment aligns with customer cont...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Location : 11500 North Mopac Expressway, Austin TX.Global Revenue team as a key business partner to all stakeholders in our revenue recognition cycle.
We seek a candidate that has a strong, broad und...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Austin | Chicago | Salt Lake City | San Francisco.Gong empowers everyone in revenue teams to improve productivity, increase predictability, and drive revenue growth by deeply understanding customer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Optibus is a unified software platform revolutionizing public transportation planning, scheduling, and operations in over 7,000 cities worldwide.
Using AI, ML, and optimization algorithms, it empowe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
A company is looking for a Revenue Cycle Manager who will oversee the revenue cycle and lead a team of specialists.Key Responsibilities Lead and mentor a team of RCM specialists for efficient cla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
The Patient Financial Navigator plays a vital dual role within UT Health Austin, supporting both the operational and mission-driven aspects of patient access.
This position is responsible for guidin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Director of Revenue Management is responsible for the maximization of revenue, profit, and market share associated with rooms and function spaces.
Demonstrates excellent leadership skills by edu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Financial Navigator, Revenue Cycle.Hiring Department : Dell Medical School.Position Open To : All Applicants.Earliest Start Date : Immediately.
Position Duration : Expected to Continue.The Patient Finan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Job Revenue Cycle Specialist - Pharmacy Buy and Bill
CommUnityCare Health CentersAustin, TX, USjob_description.job_card.variable_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionReconcile payments and outstanding balances for buy-and-bill medications. Maintain detailed records of payer communications and payment status. Follow up on unpaid or underpaid claims. Confirm insurance eligibility and coverage for buy-and-bill medications. Collaborate with pharmacy and clinical teams to obtain prior authorizations when required. Ensure claims comply with payer policies, coding standards, and regulations. Maintain organized and accurate documentation for audit purposes. Identify opportunities to optimize the buy-and-bill billing process. Implement solutions to enhance efficiency and reduce denials. Advanced knowledge of medical terminology, ICD 10, CPT, HCPCS coding and HIPAA requirements. Ability to communicate effectively, both orally and in writing. Demonstrated proficiency in the use of computer and commonly used software, including electronic medical records (EMR). Extensive knowledge and experience with commercial, government and state billing and reimbursement procedures. Proficiency in insurance verification, prior authorization, and AR follow-up. Attention to detail, organizational skills, customer service orientation, and analytical thinking. Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation / compliance requirements. Promptly identify issues and reports them to their direct supervisor. Maintain regular and predictable attendance. Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. High School Diploma or equivalent (higher degree accepted) 2 years medical billing, pharmacy billing, or revenue cycle management, particularly in buy-and-bill processes.
Pharmacy Buy And Bill Ar Specialist
The Pharmacy Buy And Bill AR Specialist is responsible for managing the accounts receivable (AR) processes related to buy-and-bill medications. This includes verifying insurance coverage, submitting claims, resolving billing discrepancies, and ensuring timely reimbursement from payers. The role requires collaboration with pharmacy teams, healthcare providers, and insurance companies to streamline the revenue cycle and minimize denials.
Responsibilities
Essential Functions
Claims Management :
- Submit accurate claims for buy-and-bill medications to insurance payers.
- Track claims to ensure timely processing and reimbursement.
- Identify and address claim rejections and denials promptly.
Accounts Receivable Monitoring :
Insurance Verification :
Compliance and Documentation :
Process Improvement :
Knowledge, Skills and Abilities :
Qualifications
Minimum Education :
Minimum Experience :