Pharmacy Benefit Credit and Refund Specialist Coordinator, Revenue Cycle (Hybrid)
Core
Resolve insurance credit balances and manage healthcare accounts receivable for a mail-service pharmacy.
Role type
Pharmacy Benefit Credit and Refund Specialist Coordinator
Builds
Revenue cycle resolution for prescription medication dispensing
Domain
Healthcare / Pharmacy Revenue Cycle
Deliverable
dashboards & analysis
Required skills
Healthcare insurance experience, Microsoft Office (Excel, Outlook, Word), billing validation, revenue recognition, claims processing, data collection
Preferred skills
Insurance billing/collections, healthcare reimbursement systems, analytical skills, multitasking, professional communication
Responsibilities
Follow up on third-party insurance credits via phone, internet, and writing; validate credit balances and billing procedures; resolve overpayments and initiate refunds; manage accounts receivable; maintain patient demographic data and chronological notes; contact patients and physician offices to validate claims.
Seniority
Entry-level, hands-on IC