Revenue Integrity Pharmacist Job Listing at MedStar Medical Group in Columbia, MD (Job ID req48207)

Description

General Summary of Position
Collaborates with providers and revenue cycle team to ensure safe and effective use of specialty medications at infusion centers by reviewing the order and evaluating clinical guidelines, formulary protocols, payor preference, and appropriate clinical documentation aligning to the medical necessity to obtain authorizations promptly. With clinical knowledge, serves as a liaison between healthcare providers and the revenue cycle team in improving efficiencies and reducing denials.

Primary Duties and Responsibilities

Minimum Qualifications
Education

• Doctoral degree in Pharmacy required

Experience

• 3-4 years Pharmacist experience in a hospital setting required
• 3-4 years Ambulatory infusion pharmacy experience is highly preferred

Knowledge, Skills, and Abilities

• Excellent problem-solving skills and ability to exercise independent judgment
• Strong verbal and written communication skills
• Ability to work with individuals from multiple departments
• Knowledge of medical billing and revenue cycle activities
• Clinical knowledge in oncology and other specialty diseases

This position has a hiring range of $118,331 - $230,172