- Doctor of Pharmacy Degree, with Active License in US
- Hospital or professional pharmacy operational experience, with under standing of outpatient hospital procedures for drug administration that require authorizations -Epic Hospital or professional billing software experience -Experience working closely with a multidisciplinary team to optimize patientexperience and operational success
- Residency training or related years of experience in the clinical area
- Certified Revenue Cycle Representative(HFMA), Certification in Healthcare Revenue Integrity (CHRI) and/or Certified Medical Coder.
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Pharmacist Specialist - Broomfield, United States - SCL Health
Description
Job Description:
The Specialist for Pharmacy Revenue will serve as the operational and clinical liaison between pharmacy, clinical specialties, and the Revenue Service Center (RSC) to support medication billing compliance and financial performance across the enterprise including hospital and professional based billing systems, while promoting and supporting stewardship initiatives and fiscal responsibility.
The Specialist will report to the Manager, Pharmacy and Oncology Revenue Practice.Practice Opportunity:
Pharmacist Specialist will serve as an active member, participant and co-leader for Pharmacy Clinical Revenue Practice Team to identify and prioritize opportunities to optimize revenue integrity across assigned service line(s),
Serves as a subject matter expert for medication-related billing requirements, as well as Medicare, Medicaid, and Commercial payer coverage and medical necessity criteria.
Develop strategy and provide guidance throughout the enterprise and Community Connect partner organizations on all matters related to pharmacy and medication charging, including electronic health record (Epic Willow Inpatient) medication record build.
Develops, implements, and maintains processes related to medications charging, that support the mission and goals of our Clinical Pharmacy Revenue Practice Team.
Meets regularly with the revenue cycle, finance, and clinical teamsto promote collaborative partnership and consistent charge capture and meet core business needs (pharmacy informatics, prior authorization team, clinic leadership and others as needed).
Collaborates with Pharmacy andRevenue Cycle Leadership to identify shared solutions when necessary.
Escalates concerns and success toManager, Pharmacy and Oncology Revenue Practice as appropriate.
Performs other duties as assigned.
Required:
Preferred:
Physical Requirements:
Carrying, Climbing, Crawling, Hearing/Listening, Lifting, Manual Dexterity, Pulling/Pushing, Seeing, Speaking, Squatting/Kneeling, Standing, Walking
Anticipated job posting close date:05/02/2024
Location:
Peaks Regional Office
Work City:
Broomfield
Work State:
Colorado
Scheduled
Weekly Hours:40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$ $96.21
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Intermountain Health is an equal opportunity employer.
Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Our facilities do not discriminate against any person on the basis of race, color, n tional origin, disability, or age in admission or access to, or treatment or employment in, its programs, services or activities, or on the basis of sex (gender) in health programs and activities