Medicare Part B Operations Coordinator, Revenue Cycle

This is a fully remote position, open to applicants in Rhode Island.

📋 Description

• Assisting with the complete process of Medicare Part B claims processing.

• Ensuring adherence to the guidelines set forth by the Centers for Medicare and Medicaid Services (CMS).

• Facilitating the precise processing and submission of claims.

• Aiding the Revenue Cycle Team in achieving timely and accurate billing of pharmacy and medical claims to third-party insurers.

• Supporting initiatives aimed at collecting and validating prescriber documentation in line with CMS standards.

• Overseeing a centralized database of prescriber documentation and utilizing this information to pinpoint actionable claim volume.

⛳️ Requirements

• A minimum of 1 year of experience in retail pharmacy, PBM, or account management.

• At least 1 year of professional experience with MS Excel and Access.

• Strong organizational and analytical skills, with a keen attention to detail, accuracy, and follow-through.

• Proven ability to communicate clearly, accurately, and professionally in verbal, written, and phone communications with both internal and external stakeholders.

• Valid Rhode Island Pharmacy Technician License (Tech II).

• CPhT Certification from PTCB.

• A verifiable High School Diploma or GED is required.

• An Associate’s Degree is preferred.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.