Revenue Integrity Pharmacisit
Company: Chesapeake Regional Medical Center
Location: Chesapeake
Posted on: January 11, 2021
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Job Description:
The Revenue Integrity Pharmacist will oversee the daily
operations of the Pharmacy Financial Navigation Program and will
work collaboratively with the pharmacy clinical and operational
areas and the GHC Epic Willow team. In addition, this role is
responsible for developing and sustaining communication with the
Revenue Cycle, Patient Access, Patient Financial Services, Hospital
Billing, Managed Care, and Health Information Management
departments to ensure clarity, consistency and accuracy around the
pharmacy charge, reimbursement and revenue cycle. The Revenue
Integrity Pharmacist will evaluate pharmacy claim denials, process
discrepancies and identify areas for workflow improvement through
routine data analysis using internal databases and key performance
indicators. Best practices in pharmacy denials management will be
identified and developed to ensure the department is fiscally
responsible and compliant with all commercial, state and federal
regulations. The Revenue Integrity Pharmacist will provide regular
updates to pharmacy and executive leadership through area
assessments and compliance improvement recommendations. A summary
of payor denials and recommendations will be presented to Pharmacy
leadership and appropriate Chesapeake Regional Healthcare
committees.
Keywords: Chesapeake Regional Medical Center, Chesapeake , Revenue Integrity Pharmacisit, Other , Chesapeake, Virginia
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