Revenue Cycle Specialist

Description

 TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care. Did we mention Amazing Care? Good! Because this is so much more than just our tagline. It is the foundation upon which our business was built. We believe that Amazing Care starts from within, and our culture is reflective of this philosophy. 

Our team members enjoy:

• A wide range of health insurance options including medical, dental and vision
• A strong salary and bonus program
• A robust 401k and company match
• Truescripts is transitioning to an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!
• Employee Assistance Program
• A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
• Dream Manager Program (yes, it’s a real thing!)
• A cohesive, family-based culture
• Charitable contributions and volunteer time
• Lots of celebrations!

Ok, enough about us. Here’s what we need from you: A future team members' values need to align with TrueScripts' core values of Integrity, Respect, Innovation, and Service. This match in value systems is critical for our team's chemistry and continued success. Our culture is positive, and our people possess a ‘can do, proactive attitude. Honesty and transparency are the foundation that we build upon. What sets us apart from our competitors is the programs that we bring, the education that we provide, and the utmost respect for clients and their members to assist them when and where needed. 

Position Summary and Scope of Responsibilities: 

The Revenue Cycle Specialist is responsible for all aspects of client invoicing including but not limited to client set-up, client account maintenance, client reporting requests and invoicing. Other responsibilities include payment application, quality review, collections, pharmacy payments, and client reporting.  This is an in-office/hybrid role located in Washington, Indiana. Accounting/Finance department. 

Principal Roles and Responsibilities 

Client Invoicing 

• Set up all client accounts in financial system
• Prepare weekly and monthly invoices, detailed reports, and correspondence
• Update and maintain detailed work instructions on the invoicing process
• Maintain accurate client contacts 
• Work with Client Success for all client onboarding activities

Client Reporting 

• Provide clients, TPAs, and brokers with requested reporting on a weekly or monthly basis
• Provide adhoc reports or supporting backup reports, as requested
• Development of reports used for Data/IRIS population and analysis

Client Collections

•  Payment application
•  Coordinate collections of past due accounts
• Work with Client Success, brokers, and third-party administrators to collect all past due accounts
• Provide A/R reporting to brokers and management as needed

Quality Audits 

• Perform quality audits of client data housed in source documents
• Perform quality audits of client set-up information

Quarterly Client Rebates

• Calculate quarterly rebates
• Prepare cover letters for rebate checks
• Prepare backup and payments for executive approval

Pharmacy Payments

• Facilitate lease pharmacy network payments and reporting
• Facilitate direct pharmacy payments and reporting
• Maintain pharmacy payment contracts and documentation

Performs other duties as assigned

Requirements

Qualifications:  

Education:  College preferred but not required. High School or equivalent required

 

Experience/Knowledge:

• Strong Microsoft Excel skills required

• Accounting skills required

• QuickBooks knowledge 

• Exceptional problem solving, analytical thinking, and attention to detail

• Ability to multi-task and prioritize in an ever-changing environment

• Ability to work in an open team environment and be a team player with all levels of staff and management is required

  #LI-VM1