This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/12913482

GENERAL DESCRIPTION This position is responsible for reconciling pharmacy remittances to ensure accurate and timely payments are received. This employee will work with insurance companies to resolve any discrepancies and setup electronic payments and remittance files, track data to establish patterns across payers, and assist in contracting in-house pharmacies with new and existing insurances. As necessary, this employee will also work with the 340B team to conduct eligibility audits. Requirements ESSENTIAL DUTIES Utilize pharmacy software to upload and reconcile remittances. Identify any discrepancies, missing payments, etc. and take appropriate action to correct. Setup electronic payments and remittance files. Track data to determine patterns and inform decisions. Create groups for each insurance payer in the pharmacy software system in order to break data down by network. Assist with creating detailed workflows for each of the duties within this position. Break down and keep records of Direct and Indirect Remuneration (DIR) fees, as they relate to Medicare prescriptions. Assist with contracting/recredentialing in-house pharmacies with various insurance companies. Utilize electronic health records to complete 340B eligibility audits. Performs all duties, services, and documentation in full compliance with CHC/SEK policies and procedures. Performs other duties as assigned.