Full-Time Pharmacy Accounts Receivable Specialist

Pharmacy Accounts Receivable Specialist

Job Summary

The Pharmacy Accounts Receivable Specialist is responsible for accurately and efficiently posting payments, adjustments, and denials to patient accounts within the pharmacy's billing system.

Duties and Responsibilities

• Accurately post all forms of payments from PBM partners, including electronic remittance advice (ERAs), electronic funds transfers (EFTs), and checks, into the pharmacy's billing system.
• Reconcile daily PBM payment batches with bank deposits and resolve any discrepancies promptly.
• Identify and address unapplied cash, credit balances, and payment discrepancies.
• Collaborate with the billing and collections teams to ensure proper account handling and resolution of issues.
• Maintain accurate logs of all payments and adjustments for auditing purposes.
• Assist in month-end closing processes and reporting.
• Ensure compliance with HIPAA regulations and organizational policies.
• Generate and maintain reports related to PBM payment postings, adjustments, and account balances.
• Collaborate with billing, collections, and pharmacy staff to resolve payment-related issues and ensure accurate account information.
• Act as the point of contact for the review of prescription payments to check deposits.
• Assist with contacting PBM's in the event checks or remits are not found within our clearing house/passthrough portals.

Required Qualifications

• Previous Pharmacy Experience
• Strong interpersonal skills with the ability to collaborate effectively
• Excellent verbal and written communication skills
• Ability to work independently and manage multiple deadlines in a fast-paced environment
• Strong organizational skills and keen attention to detail
• Proficient typing and keyboarding skills
• Fluency in reading, writing, speaking, and understanding English

Education and Experience Requirements

• High School Diploma or equivalent; additional coursework in accounting or healthcare administration is a plus.
• Minimum of 2 years of experience in cash posting or medical billing, preferably in a pharmacy or healthcare setting.
• Proficiency in using pharmacy management software and Microsoft Office Suite (Excel, Word).
• Strong understanding of insurance payment processes, including ERAs, EFTs, and EOBs.
• Excellent organizational skills with a keen eye for detail to ensure accuracy in data entry and financial records.
• Effective verbal and written communication skills to collaborate with team members and other departments.

Preferred Qualifications

• Experience with specific billing software (e.g., CPR+ & CareTend)
• Knowledge of Medicare, Medicaid, and commercial insurance payment posting

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