Responsible for preparing third-party payer agreements for loading into the pharmacy management system. Builds third-party payer agreements in the pharmacy operations system (CPR Plus), researches and interprets billing rules, billing units, and contract terms, and supports billing and collections for services provided by Option Care.
Works closely with Commercial Contracting, Pricing, Trade, Revenue Cycle Management, Contract Operations, IT, and CMCs to support contract setup, system integration, reporting, and system enhancement opportunities.
Basic education and/or experience
- Bachelor's degree, or high school diploma with at least 5 years of experience in Revenue Cycle Management, Contract Management, Home Infusion intake, or home infusion pharmacy technician.
Qualifications
- Ability to work in a deadline-driven environment
- Strong analytical and problem-solving skills
- Ability to work independently and in cross-functional teams
- Ability to identify improvement and growth opportunities
- Advanced Microsoft Excel skills, including VLOOKUP, basic formulas, and pivot tables
- Experience analyzing and reporting data to identify issues, trends, and exceptions
- Experience with HCPCS coding and drug pricing sources (AWP, ASP, WAC)
- Intermediate Microsoft PowerPoint and Word skills
- Willingness to travel up to 10% of the time
Preferred qualifications
- CPR Plus experience
- Contract management experience
- Experience with Medicare, Medicaid, PBM, and other third-party payer payment guidelines
Benefits
- Medical, dental, and vision insurance
- Paid time off
- Bonding time off
- 401(k) retirement savings plan with company match
- HSA company match
- Flexible spending accounts
- Tuition reimbursement
- myFlexPay
- Family support
- Mental health services
- Company-paid life insurance
- Award and recognition programs
Location
Lincoln, Nebraska, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$46,070 - $76,768
Remote work allowed
Yes
Posted
1 month ago