Pharmacy Revenue Coordinator - Grand Rapids, United States - Corewell Health

Corewell Health

Verified Company

Grand Rapids, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary

Maintains departmental business systems and other business processes by ensuring accuracy and consistency with departmental requirements and regulatory agency standards.

Accountable for tasks impacting organizational cash flow, compliance, patient satisfaction, and confidentiality.

Responsible for analyzing, developing, and establishing charge processes and procedures throughout the organization to maintain charge integrity in compliance with Spectrum Health and other regulatory agencies.

Areas of focus to include:

Charge Work queue
Inbasket Charge Maintenance
Billing (Aeromed, IDB, Clinic)
Account Work queues
Price Updates
HCPCS Maintenance
Rover Work queues
Waste Reports and Charging
Med Build Request
Default NDC Updates
Invoice Submission
Chart Corrections
Compliance Corrections

Essential Functions

Maintains revenue integrity and patient satisfaction by ensuring accuracy of all medication and/or supply prices and charge methodologies and maintaining interdepartmental revenue.
Reviews and makes recommendations regarding charges / fee structure, revenue cycle business systems, or related processes. Researches patient access, coding and billing requirements when new procedures or regulatory changes are introduced.
Develops charge reconciliation processes to assure all charges are entered for patients within the entire hospital system, collaborates with clinical staff on charge capture best practices, and performs internal and external audits to assure compliance with charge reconciliation processes.
Communicates, collaborates, and acts as a consultant to others within and outside the department related to assigned tasks in order to facilitate continuity and coordination of services. Keeps upper management and other teams within the pharmacy and hospital system informed concerning progress / problems.
Coordinates required updating of CPT / HCPCS codes, bill edits, third party payer changes or other revenue cycle regulatory requirements.
Assists in the resolution of chargemaster revenue issues across the delivery system, such as patient access, billing or denials, and develops systems to proactively address trends.
Facilitates the development of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, or revenue cycle efficiencies, working collaboratively with teams / task forces / consultants.
Responsible for monitoring workqueues and reports related to medication charges and government regulations. Uses departmentspecific knowledge and experience to identify medication charge and charting inconsistencies and ensures the proper resolution.

Qualifications:

Required Bachelor's Degree or equivalent In related field
3 years of relevant experience different areas of the health system such as surgery, pharmacy, purchasing, billing, coding, reimbursement, supply chain, technology & information solutions, and/or finance. Required
CRT-Pharmacy Technician, Certified (CPHT)
PTCB Pharmacy Technician Certification Board Pharmacy Upon Hire preferred Or
CRT-Exam for the Certification of Pharmacy Technicians (ExCPT)
NHA National Healthcareer Association Upon Hire preferred

LIC-Pharmacy Technician

STATE_MI State of Michigan Pharmacy Upon Hire preferred
This is a Remote Position, Monday to Friday,

8 a.m. to 4:30 p.m.
, allowing some Flexibility in schedule

Revenue experience would be a plus

Primary Location
SITE - Blodgett Hospital Wealthy St SE- Grand Rapids

Department Name
Corporate Admin - Pharmacy

Employment Type
Full time

Shift
Day (United States of America)

Weekly Scheduled Hours
40

Hours of Work
8 a.m. to 4:30 p.m.

Days Worked
Monday to Friday

Weekend Frequency
N/A

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category._
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team._