Pharmacy A/R Specialist - Outpatient
Not Disclosed•Full-TimeOn-site
location_onBay Harbor Marina, West Lakeshore Drive, Malletts Bay, Colchester, Chittenden County, Vermont, 05406, United States
About the Role
The Pharmacy Accounts Receivable Specialist serves as the principal point of contact and content manager for revenue across all UVMMC Outpatient Pharmacy operations. This role acts as the critical bridge between pharmacy staff, payers, PBM networks (including Medicare and Medicaid), and revenue system vendors. The position is dedicated to optimizing financial performance by managing claims processes, generating essential reports, and ensuring the integrity of pharmacy revenue streams.
In this capacity, the specialist manages A/R aging, performs cash reconciliation with Corporate Accounting, and provides alerts to management regarding trends in unfavorable reimbursements. The role also involves supporting network affiliates and maintaining best practice standards for revenue management.
Compliance and Auditing
A key component of this position is participating in routine pharmacy audits conducted by payers, PBMs, and external accounting auditors. The specialist leads internal monitoring efforts to ensure proper documentation, timely submissions, and effective follow-up to guarantee compliance and payment. Additionally, the role includes routine monitoring of Direct and Indirect Remuneration (DIR) fees to proactively identify areas of risk that could lead to revenue loss for the organization.
Work location
Work model: On-site
Bay Harbor Marina, West Lakeshore Drive, Malletts Bay, Colchester, Chittenden County, Vermont, 05406, United States
Malletts Bay, Vermont
Key Responsibilities
- check_circleProcess claims to optimize outpatient pharmacy financial performance
- check_circleManage A/R aging and complete cash reconciliation with Corporate Accounting
Similar Job Opportunities
Skills, education and keywords
Skills: Accounting, Business Management, Pharmacy Technician, Claims Reconciliation, Medicare, Medicaid, PBM, Dir Fees.
Education: Associate's degree in accounting/business management required.
Frequently asked questions about Pharmacy A/R Specialist - Outpatient at UVM Health - UVM Medical Center
What does a Pharmacy A/R Specialist - Outpatient at UVM Health - UVM Medical Center do?expand_more
A Pharmacy A/R Specialist - Outpatient at UVM Health - UVM Medical Center is responsible for the following: Process claims to optimize outpatient pharmacy financial performance; Manage A/R aging and complete cash reconciliation with Corporate Accounting; Participate in routine pharmacy audits from payers, PBMs, and external auditors; and Manage pharmacy revenue and accounts receivable processes.
What are the requirements for this Pharmacy A/R Specialist - Outpatient role?expand_more
UVM Health - UVM Medical Center is looking for candidates who meet the following requirements: Associate's degree or equivalent experience in accounting/business management; Licensed/registered pharmacy technician in Vermont; 3 years of experience with claims reconciliation process; and Strong understanding of accounting practices.
Where is the Pharmacy A/R Specialist - Outpatient role at UVM Health - UVM Medical Center located?expand_more
Pharmacy A/R Specialist - Outpatient at UVM Health - UVM Medical Center is based in Bay Harbor Marina, West Lakeshore Drive, Malletts Bay, Colchester, Chittenden County, Vermont, 05406, United States. This is a on-site role.