Outpatient Pharmacy Revenue Analyst – Program Technician 1

This is a fully remote position, open to applicants in United States.

📋 Description

• Accountable for locating, investigating, and rectifying financial discrepancies to recover lost or missed income.

• Evaluate billing inaccuracies, payment conflicts, and account modifications across intricate systems to reduce revenue leakage and enhance cash flow.

• Identify missed revenue potential and collaborate with operational leaders, as well as billing and revenue cycle analysts, to implement corrective measures.

• Generate comprehensive reports and suggest process enhancements to improve revenue capture.

• Review and reconcile accounts, assess billing and payment data, and investigate discrepancies to reveal missed revenue opportunities.

• Research and reconcile customer chargebacks, deductions, and underpayments within financial or billing systems.

• Audit account data to detect patterns of underbilling, overpayment, or delayed claims.

• Collaborate with finance, billing, and operational leaders to address errors and enforce corrective actions.

• Examine the root causes of revenue leakage and propose process improvements to avert future losses.

• Compile and deliver financial reports and Key Performance Indicators (KPIs) to leadership regarding recovery metrics.

• Additional duties as assigned.

⛳️ Requirements

• A minimum of three years of experience managing or coordinating parts or components of a project or program.

• A bachelor’s degree in Business Administration, Management, Public Administration, or a closely related field may substitute for two years of the required experience.

• Proficient in Microsoft Outlook, Excel, PowerPoint, and Word.

• Well-organized in tasks and follow-up items.

• Capability to read and comprehend medical-related terminology.

• Strong organizational skills, along with effective oral and written communication abilities and interpersonal skills.

• Ability to operate and communicate efficiently while managing multiple deadlines and completing projects concurrently.

• Skill to interact positively and productively with providers, nursing, pharmacy staff, and leadership, demonstrating sensitivity, tact, and professionalism.

• Must be able to perform the essential functions of the position with or without accommodations.

• Advanced proficiency in Microsoft Excel and experience with ERP platforms or specialized financial and billing software.

• Strong critical thinking and mathematical abilities with a high level of accuracy when managing large datasets.

• Exceptional negotiation and interpersonal skills to professionally handle disputes with internal departments and external clients or payers.

🏝️ Benefits

• Healthcare Options - 100% coverage for full-time employees and 88% for dependents, along with $25K of term life insurance provided at no cost to the employee.

• Two separate above-market pension plans available for selection.

• Vacation - up to 200 hours per year based on length of service.

• Sick Leave - up to 96 hours per year.

• 8 paid holidays annually.

• Significant Tri-Met and C-Tran discounts.

• Additional programs including Tuition Reimbursement and Employee Assistance Program (EAP).