Pharmacy Accounts Receivable Specialist

About AmeriPharma

AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.

AmeriPharma’s Benefits

• Full benefits package including medical, dental, vision, life that fits your lifestyle and goals
• Great pay and general compensation structures
• Employee assistance program to assist with mental health, legal questions, financial counseling etc.
• Comprehensive PTO and sick leave options
• 401k program
• Plenty of opportunities for growth and advancement
• Company sponsored outings and team-building events
• Casual Fridays 

Job Summary The Pharmacy Accounts Receivable Specialist is responsible for accurately and efficiently posting payments, adjustments, and denials to patient accounts within the pharmacy's billing system. This role ensures that all transactions are adequately downloaded from external clearing houses and passthrough entities, including the validation of payments through our bank deposits. This role requires a high level of accuracy within the claim payment reconciliation process. This role requires timely payment application, auditing for discrepancies, and a disciplined approach to financial records are maintenance within compliant and regulatory standards.

Schedule Details

Location: Remote 

Hours: Monday-Friday, 7:00 AM-3:30 PM 

Duties and Responsibilities

• Accurately post all forms of payments from PBM partners, including electronic remittance advice (ERAs), electronic funds transfers (EFTs), and checks, into the pharmacy's billing system.
• Reconcile daily PBM payment batches with bank deposits and resolve any discrepancies promptly.
• Identify and address unapplied cash, credit balances, and payment discrepancies.
• Collaborate with the billing and collections teams to ensure proper account handling and resolution of issues.
• Maintain accurate logs of all payments and adjustments for auditing purposes.
• Assist in month-end closing processes and reporting.
• Ensure compliance with HIPAA regulations and organizational policies.
• Generate and maintain reports related to PBM payment postings, adjustments, and account balances.
• Collaborate with billing, collections, and pharmacy staff to resolve payment-related issues and ensure accurate account information.
• Act as the point of contact for the review of prescription payments to check deposits.
• Assist with contacting PBM’s in the event checks or remits are not found within our clearing house/passthrough portals.

Required Qualifications

• Previous Pharmacy Experience
• Strong interpersonal skills with the ability to collaborate effectively
• Excellent verbal and written communication skills
• Ability to work independently and manage multiple deadlines in a fast-paced environment
• Strong organizational skills and keen attention to detail
• Proficient typing and keyboarding skills
• Fluency in reading, writing, speaking, and understanding English

Education and Experience Requirements

• High School Diploma or equivalent; additional coursework in accounting or healthcare administration is a plus.
• Minimum of 2 years of experience in cash posting or medical billing, preferably in a pharmacy or healthcare setting.
• Proficiency in using pharmacy management software and Microsoft Office Suite (Excel, Word).
• Strong understanding of insurance payment processes, including ERAs, EFTs, and EOBs.
• Excellent organizational skills with a keen eye for detail to ensure accuracy in data entry and financial records.
• Effective verbal and written communication skills to collaborate with team members and other departments.

Preferred Qualifications

• Experience with specific billing software (e.g., CPR+ & CareTend).
• Knowledge of Medicare, Medicaid, and commercial insurance payment posting.

AmeriPharma’s Mission Statement 

Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!

Physical Requirements 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is continuously required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and stoop, kneel, crouch or crawl. The employee must regularly lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus.

EEO Statement 

The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or based on disability or any other legally protected class.