1 jobs found in Stoughton

Shields Health Solutions Job Purpose: Reporting to the Revenue Cycle Manager, the Revenue Cycle Analyst responsibilities include overseeing the pharmacy revenue cycle management functions on behalf of each partnering health system. This may encompass performing revenue cycle activities for various health system partners, working in a variety of third-party receivables platforms, and supporting management and our clients in various projects Job Duties: Manage and oversee payer and patient revenue cycle management processes for various hospital specialty pharmacy accounts; Develop operational/financial workflows to ensure billing compliance, identify efficiencies, maximize collectability, and reduce/prevent financial loss; Investigate outstanding claims receivables (under/overpayments) unpaid claims or recouped payments specific by payer/PBM/site for collectability; Manage Medicare B billing for each hospital specialty pharmacy partner by coordinating...