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PANTHERx® Specialty Pharmacy is THE Rare Disease Specialty Pharmacy®, servicing patients nationwide, and headquartered in Pittsburgh, Pennsylvania. PANTHERx Specialty's mission is to transform lives by delivering medical breakthroughs, clinical excellence, and access solutions to patients afflicted with rare and devastating conditions. PANTHERx was recently recognized as the fastest growing healthcare company by Inc. magazine and in the top 5 places to work by Modern Healthcare. PANTHERx identifies opportunities every day to Reinvent Specialty, Revolutionize Pharmacy, and Redefine Care®, by developing focused solutions, bold innovation, and novel clinical services associated with the life-transforming therapies.

We are currently seeking a full time A/R- Audit Specialist to join our team!

Company Benefits:

  • Medical Insurance
  • 401K (After 1 year of service)
  • Paid-Time Off
  • EAP Services


Location: Pittsburgh, PA
Classification: Non-Exempt
Job Type: Full-Time

 

Purpose

The role of the A/R – Audit Specialist is to manage financial aspects of billing and collections of assigned accounts. To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Responsibilities

  • Ensure medically billed plans, Medicare, pharmacy and secondary plans are being billed and outstanding receivables are followed until completion
  • Aggregate necessary documentation and perform associated actions to support and respond to audit requests from medically billed plans, PBMs, Medicare, and ancillary payers.
  • Provide feedback on best practices for operations as gleaned from audit experiences.
  • Manage assigned outstanding accounts receivable to ensure all valid and collectable cash is collected.
  • Provide feedback if an open receivable could become risk of collections
  • Once the payment is collected, ensuring accounts are updated correctly
  • Phone Conversations with providers, insurers and patients to resolve outstanding balances
  • Attend staff meetings
  • Open communication within all departments and provide feedback to ensure positive results for patients, payors and Panther
  • Work with Management to identify any negative margins at a drug/patient/payor level regarding adjudicated and non-adjudicated claims
  • Work with Management to craft goal sets associated with audit related activities and experiences.

Required Qualifications

  • High school diploma or general education degree (GED)
  • Strong written and verbal communication skills necessary to professionally and effectively convey ideas
  • Ability to understand and act on basic business principals of AR
  • Prioritization of daily tasks and focus on company goals
  • Ability to multitask
  • Proficient with EDS billing systems, Excel and Word
  • Minimum 2 years’ experience

Preferred Qualifications

  • Experience or knowledge within the healthcare industry, particularly a mail order or specialty pharmacy
  • Experience with CPR+

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.


 


Wage

DOE

Experience

Any

Type

Full-time