The Pharmacy AR Specialist is responsible for managing the accounts receivable (AR) processes related to buy-and-bill medications.

This includes verifying insurance coverage, submitting claims, resolving billing discrepancies, and ensuring timely reimbursement from payers.

The role requires collaboration with pharmacy teams, healthcare providers, and insurance companies to streamline the revenue cycle and minimize denials.

Claims Management:

• Track claims to ensure timely processing and reimbursement.


• Identify and address claim rejections and denials promptly.

Accounts Receivable Monitoring:

• Reconcile payments and outstanding balances for buy-and-bill medications.


• Maintain detailed records of payer communications and payment status.
• Follow up on unpaid or underpaid claims.

Insurance Verification:

• Compliance and Documentation: Ensure clai...