Medicare Part B Operations Coordinator, Revenue Cycle

Role Overview

• Supporting end to end Medicare Part B claims processing activities
• Ensuring compliance with Centers for Medicare and Medicaid Services (CMS) requirements
• Facilitating accurate claim processing and submission
• Supporting the Revenue Cycle Team’s objective of timely and accurate billing of pharmacy and medical claims to third party insurers
• Assisting with initiatives to collect and validate prescriber documentation in accordance with CMS guidelines
• Managing a centralized repository of prescriber documentation and leveraging this data to identify actionable claim volume

Requirements

• 1+ years (retail pharmacy, PBM, account management)
• 1+ years of professional MS Excel and Access experience
• Strong organizational and diagnostic skills with attention to detail, accuracy and follow through
• Demonstrated ability to communicate clearly, accurately and professionally across verbal, written, and phone interactions with internal and external stakeholders
• Rhode Island Pharmacy Technician License (Tech II)
• CPhT Certification by PTCB
• Verifiable High School Diploma or GED required
• Associate’s Degree preferred

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs