Pharmacy Revenue Cycle Analyst

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