Pharmacy Charge Specialist (Remote)-FlexStaff TEMP

FlexStaff – not profit, Lake Success, NY

Requisition : 184064

Profession : Revenue Cycle

Specialty:

8:00 AM-4:30 PM

Salary Range: $21.00-$25.00/hour

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Job details

Schedule: Monday-Friday 8:00am-4:30pm

Location: Remote

The Pharmacy Charge Specialist position is responsible for providing analytical support in all areas of system pharmacy-related charges and revenue. Responsible for the oversight and maintenance of the system Pharmacy CDM and related ancillary systems content according to government and third party payer regulations and guidelines. Monitors regulatory changes and payer requirements. Works closely with all revenue-producing areas to ensure accurate and compliant pharmacy charge capture.

Responsibilities & Qualifications include:

Monitors and responds to system-wide billing issues identified in the Cerner Patient Accounting application
Daily monitoring of the system EHR health information technology Pending Queue (Pending charges comprise medication orders that are administered differently than ordered, as well as intermittent and continuous orders that are administered without having products assigned).
Investigates and corrects excessive billing unit claims
Reviews and corrects all rejected charges that occur
Monitors and reviews the daily JW modifier approval report. If items are identified to be rejected from the report, then this person will be responsible for the appropriate crediting and rebilling of the medication in question
Coordinates CDM maintenance with the appropriate Revenue Integrity analyst. This would be in conjunction with the formulary review, leveraging appropriate technology platform
Conduct annual review of reimbursement codes (JCODES) and update the formulary accordingly
Keeps current with Pharmacy Billing Regulations for compliance
Assist in investigating and responding to Billing Audits
Supports data integrity through interaction with financial and outcomes systems and auditing verification
Participates and lead committees, work groups, process improvement efforts, and educational initiatives to improve pharmacy revenue integrity and pharmacy billing cycle
Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care may be provided
Other initiatives and tasks required per leadership team relevant to position

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $21.00-$25.00/hour.

Salary ranges shown on third-party job sites may not accurately reflect ranges provided by Northwell Health. Candidates should check Northwell Health Careers for accurate information and discuss salary/hourly details and our comprehensive benefits with a recruiter, if selected for an interview.

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Magnet Recognized American Nurses Credentialing Center

Military Friendly Top 10 Employer 2022 Gold

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Fortune 100 Best Companies to Work for 2022

Fortune Best Workplaces in Healthcare 2022

Fortune Best Workplaces in New York 2022

H100 2022 Winner

Healthcare Equality Index Leader, Human Rights Campaign Foundation 2022, LGBTQ+ Healthcare Equality

Magnet Recognized American Nurses Credentialing Center

Military Friendly Top 10 Employer 2022 Gold

TalentBoard 2022 The Candidate Experience Awards Winner

2022 People Companies That Care

AMWA

DiversityInc 2022 Top Companies for Hospitals & Health Systems

DiversityInc Top 50 Hall of Fame 2023

DiversityInc Top Companies for Black Executives 2023

DiversityInc Top Companies for Employee Resource Groups 2023

Fortune 100 Best Companies to Work for 2022

Fortune Best Workplaces in Healthcare 2022

Fortune Best Workplaces in New York 2022

H100 2022 Winner

Healthcare Equality Index Leader, Human Rights Campaign Foundation 2022, LGBTQ+ Healthcare Equality

Magnet Recognized American Nurses Credentialing Center

Military Friendly Top 10 Employer 2022 Gold

TalentBoard 2022 The Candidate Experience Awards Winner

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Recent Awards

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Pharmacy Charge Specialist (Remote)-FlexStaff TEMP

Job details

Start Applying Now.

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Similar jobs you may be interested in

Talent Communities and Upcoming Events

All Categories

About us

Career growth

Joseph Aigbojie

Laurie Woldman

Ramneek kaur

Sadad Mohammad

Career growth

Joseph Aigbojie

Laurie Woldman

Ramneek kaur

Sadad Mohammad

Career growth

Career blogs

Recent Awards

Recent Awards

Recent Awards