Revenue Cycle Ops Analyst

• Jan 2022 - Present

Financial Analyst

• Dec 2020 - Jan 2022

• Contribute to the monthly close process, including volume reporting, calculation of net revenue, and prepare analyses and reports for management. • Assist in preparing the annual budget and quarterly forecasting for 4 onsite outpatient pharmacies, 12 contracted pharmacies and Inpatient pharmacy (annual revenue over 400M).• Support the Accounting team on tasks including calculation of monthly accruals and preparation of journal entries.• Produce financial reports for community health center pharmacy partnerships and work closely with 340B Compliance team to ensure accuracy of reports.• Build and generate analysis from various data sources and use financial models to support pharmacy projects and decision-making.• Assist in department initiatives to maintain data integrity across multiple data sources/databases and maintain reporting standards for various pharmacy systems.• Monitor revenue and expense drivers to support robust performance by understanding the key nuances of service lines, such as 340B purchasing and PBM fee adjustments.• Assist accounting department with internal auditing- ensuring audit requirements related to the pharmacy are met.• Perform ad hoc analysis and special project support as needed by management. Show less

Revenue Cycle Analyst, Pharmacy

• Aug 2019 - Dec 2020

• Performed monthly pharmacy payment reconciliation, and daily cash/credit collection verification.• Identify abnormal claims and the causes base on analyzing monthly pharmacy revenue reports, and support accounting department on monthly closes.• Supervised team members performing pharmacy audit related requests and assist Finance/Accounting department for internal auditing. • Identified pricing issues, corrected the findings, presented the results of analysis and communicate findings to appropriate parties and proposed actions for correction.• Assisted senior analyst to provide annually/quarterly revenue reports to department management.• Assisted pharmacy staff in solving price issues/ billing issues and seeking resolutions for claim rejections/denials.• Created price plans and build report format on QS1to assist pharmacy staff and the team’s needs.• Trained new associates for all the daily tasks and supervise them as needed. Show less

Revenue Cycle Associate, Pharmacy

• Aug 2017 - Aug 2019

• Utilized pharmacy dispensing software to re-bill claims to ensure maximum cost efficiency.• Assisted in the collection of cash and performs basic bookkeeping tasks daily; resolved and reported discrepancies.• Performed pharmacy payments reconciliation and contacted Net-RX for missing remittances.• Performed third party audits for pharmacy prescriptions, including uploading requested documents and appealing.• Run and investigated low margin reports and determined/rebill claims undercharged.• Generated and interpreted reports to identify the correct prescriptions to create the invoice for reimbursement.• Prepared and maintain daily third-party billing and cash handling reports for management. Show less

Certified Pharmacy Technician II

• Feb 2017 - Aug 2017

• Filled prescriptions as requested by hospital physicians for admitted patients on time. • Ensured all medications, admixtures, or other dispensed products from the pharmacy are appropriately labeled and checked before delivery. • Performed routinely scheduled rounds to nursing units to deliver and pick up prescriptions. • Prepared compounds timely and accurately while following clean room policies. • Refilled Pyxis meditations and assisted the Pharmacy IT team with maintaining Pyxis hardware problems. Show less