Russell Tobin

What are we looking for in our Pharmacy Reconciliation Specialist?. Russell Tobin is seeking a Pharmacy Reconciliation Specialist to work hybrid for our pharmaceutical manufacturing client in Orange, CA. This is a 3-month contract position that could go permanent for the right candidate.. We are seeking a dedicated Pharmacy Reconciliation Specialist to support our client.. Coordinate the complete Central Pay Services implementation for pharmacy customer enrollment or dis-enrollment in Elevate Provider Network.. Act as a liaison with Reconciliation Vendors and FDS payment processor.

reconciliation specialist

What are we looking for in our Pharmacy Reconciliation Specialist? Russell Tobin is seeking a Pharmacy Reconciliation Specialist to work hybrid for our pharmaceutical manufacturing client in Orange, CA. This is a 3-month contract position that could go permanent for the right candidate. Pay Rate Range: $25.00 - 28.00 per hour depending on experience Schedule: Monday-Friday // 40 hours/week // 7am - 4pm Location: Hybrid in Orange, CA (In-Office Wed/Thurs; Remote Mon/Tues/Fri) Duration: 3-month contract with an opportunity for conversion Are you experienced in Pharmacy Benefit Management (PBM) or Pharmacy Services Administrative Organization (PSAO) operations? Do you excel in managing data, resolving client inquiries, and providing exceptional customer service? We are seeking a dedicated Pharmacy Reconciliation Specialist to support our client. In this role, you will play a crucial part in managing and coordinating enrollment processes for pharmacy customers while providing support to the client's Central Pay team. Responsibilities: <ul><li>Coordinate the complete Central Pay Services implementation for pharmacy customer enrollment or dis-enrollment in Elevate Provider Network. Will be supporting pay team/Central Pay functions for pharmacy clients.</li><li>Research and resolve issues for client inquires and check shared email inbox/voicemails to respond to client requests.</li><li>Confirm and load pharmacy customer information and holds on funds into the Central Pay website.</li><li>Provide assistance to customers Central Pay website issues.</li><li>Confirm customers have entered banking information and monitor banking status on the website.</li><li>Monitor accounts to identify outstanding debts.</li><li>Track down missing checks and 835’s from PBMs.</li><li>Locate and contact customers regarding outstanding debts.</li><li>Serve as an escalation point for Central Pay issues.</li><li>Act as a liaison with Reconciliation Vendors and FDS payment processor.</li><li>Serve as a contact person for Central Pay vendor partners and Pharmacy Benefit Managers (PBMs).</li><li>Provide assistance for pharmacy customers with questions and issues including accounting/reconciliation issues/funds on hold/debts.</li><li>Process refunds for PBMs, funds on Hold and serve as backup for daily funds release.</li><li>Update pharmacy customers’ account records and collection efforts.</li><li>Document processes and procedures. </li></ul>Requirements: <ul><li>Previous experience in Pharmacy Benefit Management (PBM), Pharmacy Services Administrative Organization (PSAO) operations, or Managed Care experience required</li><li>Bachelor’s degree in business administration, accountancy, finance/economics, or related field preferred, or equivalent work experience.</li><li>Previous pharmacy experience in retail setting preferred</li><li>Accounting/Finance analytics experience preferred</li><li>Contract document management (WORD, POWERPOINT) and financial analytical skills (EXCEL) required</li><li>Experience with relational databases and knowledge of query tools and/or statistical business intelligence software (e.g., Micro Strategy) is required</li><li>Experience with Salesforce or similar CRM platforms for data extraction</li><li>Familiarity with NCPDP field formats and Payor contract retail pharmacy reimbursement terms. </li></ul>Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization. We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies. As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics. Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors. Rate/Salary: $25.00 - 28.00 per hour depending on experience

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