Pharmacy Reimbursement Analyst - Infusion
The University of California, San Diego
About this position
Position Description
The Pharmacy Reimbursement Analyst functions as a liaison between the Home Infusion Pharmacy and the Finance department. The Pharmacy Reimbursement Analyst must have experience in the Home Infusion practice, possess knowledge of reimbursement, assist with month end financial reporting and annual reporting, able to work independently and complete complex projects and tasks. Responsibilities include and is not limited to the following: Assist the Pharmacy Manager with financial reporting for month end closure and annual reports. Track payments and determine correct account for posting. Locate missing payments. Work with the Medical Center finance department regarding which account to post payments to. Maintain bookkeeping of all transactions. Create batch report for Billing team to post payments in CareTend. Obtain remittance Advice. Track expiring blanket PO and funds. Renew PO and track cost trends to fiscally determine the duration of a blanket PO. Provide monthly recharges to the Hemophilia and Thrombosis Treatment Center. Reconcile Cubixx invoices with purchases to ensure correct billing cost. Collate Cubixx invoices for quarterly Specialty Provider State Report. Assist with questions and requests from the 340B audit team.
Qualifications
Seven (7) years of related experience, education/training, OR a Bachelor’s degree in related area plus three (3) years of related experience/training. Related experience: Home Infusion operation and revenue cycle experience. Understanding of Med Center and Physician Group financial reporting process. Demonstrated knowledge of healthcare reimbursement revenue cycle workflow, financial reporting, net revenue analysis and budgeting to effectively and independently capture revenue. Strong knowledge of relevant department, medical center, and UC policies and of Medicare, Medi-Cal, and third party payer regulations to identify potential compliance risks, clinical and operational implications. Strong skills in data management and analysis. Ability to manage a project through from inception to completion on schedule while performing a wide variety of tasks, adapting to changing priorities, deadlines and directions. Thorough knowledge of financial analysis, research, and reporting, particularly as it applies to reimbursement in healthcare settings. Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas. Strong communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations. Ability to perform all commonly applicable functions in word processing and spreadsheet software. Comprehensive knowledge of organization's Reimbursement Healthcare application programs to teach others.
Job Location
Kearny Mesa