Pharmacy Revenue Cycle Analyst
VirtualVocationsSioux Falls, South Dakota, United Statesjob_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Claims Analyst - Pharmacy Revenue Cycle.
Key Responsibilities
Research and resolve rejected or underpaid pharmacy claims, ensuring accuracy in coding and billing
Monitor payer edits and recommend improvements to reduce claim denials
Collaborate with pharmacy and finance teams to minimize denials and support education on revenue cycle processes
Required Qualifications
Bachelor's degree in Business, Healthcare, or related field, or equivalent work experience
1-3 years of experience in healthcare, coding, billing, or pharmacy settings
Certified Pharmacy Technician (CPhT) or coding certification (CPC, RHIT) preferred
Strong knowledge of billing flows, payer edits, and Medicare billing unit conversions
Experience working in Epic or similar healthcare billing systems
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Revenue Cycle Analyst • Sioux Falls, South Dakota, United States
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