Specialist Health Systems Billing

Job Summary

Functions as the subject matter expert on all billing processes for all Community and HSRx pharmacies to optimize revenue collection [for specialized pharmaceutical services/products [e.g., Oncology, Transplant, HIV, etc.] which typically requires a knowledge of multiple payors [e.g., private insurance, Medicare, and/or Medicaid]. Responsible for developing, implementing and maintaining patient assistance billing processes for Community and HSRx locations. Works with Sales, Contracting, Accounting and site management to ensure compliant billing processes.

Job Responsibilities

• Defines billing requirements, resources and billing methodologies to provide operational insights to specific billing processes and procedures for new or acquired on-site facilities
• Utilizes Business Objects capabilities to collect and synthesize patient assistance data from multiple sources, identify trends, propose potential corrective actions, and provides actionable recommendations intended to optimize PAP program performance.
• Establishes and continuously monitors patient assistance program data to identify trends and recommend location specific information on sales, gross profit, expenses, and business mix.
• Assists with the due diligence planning and evaluation activities for potential acquisition targets. Once acquired, assists the Regional OperationsDirector with the transition as it relates to billing processes and procedures.
• Maintains patient assistance program website and guidelines used by HSRx and Community locations.
• Liaison with Sales and Contracting & Pricing to ensure appropriate billing requirements are contracted.
• Serves as a point of contact for HSRx and Community employees’ billing issues. Resolves or escalates as needed.

About Walgreens
Founded in 1901, Walgreens (www.walgreens.com) has a storied heritage of caring for communities for generations and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Walgreens is the flagship U.S. brand of Walgreens Boots Alliance, Inc. (Nasdaq: WBA), an integrated healthcare, pharmacy and retail leader. Its retail locations are a critical point of access and convenience in thousands of communities, with Walgreens pharmacists playing a greater role as part of the healthcare system and patients care teams than ever before. Walgreens Specialty Pharmacy provides critical care and pharmacy services to millions of patients with rare disease states and complex, chronic conditions.

The actual salary an employee can expect to receive, plus bonus pursuant to the terms of any bonus plan if applicable, will depend on experience, seniority, geographic location, and other factors permitted by law. To review benefits, please visit jobs.walgreens.com/benefits More Company information is available at www.walgreensbootsalliance.com.

Basic Qualifications

• Bachelor’s Degree and at least 1 year experience providing billing-focused analytical support OR High School Diploma/GED and at least 3 years of experience providing billing-focused analytical support and reporting.
• Advanced level skill in Microsoft Excel (for example: using AVERAGE function, merging and centering cells, printing centered page and/or creating a pivot table).
• Advanced level skill in Microsoft PowerPoint (for example: changing picture styles, customizing animation and/or setting automatic slide timings).
• Advanced level skill in Microsoft Word (for example: adding developer tab, creating a macro, formatting table style, inserting comments and/or creating a mail merge).
• Basic level skill in Microsoft Access (for example: opening a table in datasheet view, entering data, filtering data, creating a form, modifying a form layout, applying themes, running, sorting and saving queries, creating and formatting a report, changing report test, adding an image, printing labels, navigating through records, and/or exporting to Excel).
• Willing to travel up to 15% of the time for business purposes (within state and out of state).

Preferred Qualifications

• Pharmacy technician certification as granted by the appropriate state licensing authority for pharmacy technicians.
• Knowledge of patient assistance programs billing practices and procedures.
• Knowledge of the use of Business Objects in the collection, synthesis, and reporting of data.

We will consider employment of qualified applicants with arrest and conviction records.
Salary Range: $63100 - $101200 / Salaried