RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, treating over 3 million patients a year. The system includes eleven acute care hospitals, three acute care children's hospitals and a leading pediatric rehabilitation hospital (Children's Specialized Hospital).
RWJBarnabas Health is New Jersey's second largest private employer – with more than 32,000 employees, 9,000 physicians and 1,000 residents and interns.
The Pharmacy Billing, Denials & Appeals Specialist coordinates and supports the Corporate Pharmacy department of RWJBarnabas Health efforts to reduce medication-related denials and maximize revenues for drug therapy and pharmacy related services as directed. The position is part of an interdepartmental collaboration within RWJBarnabas Health and requires frequent interactions with the health system's business office members as well as the local affiliate hospitals. The departments include, but are not limited to Revenue Cycle, IT&S, pharmacy informatics, pharmacy directors, managed care, compliance, oncology nursing, outpatient infusion and any areas where medications are administered. The Pharmacy Billing, Denials & Appeals Specialist also partners with Revenue Integrity to increase the accuracy and efficiency of the Pharmacy charge description master (CDM) for the entire health system. The position objectives are to provide support to Corporate Pharmacy and RWJBarnabas Health and maximize institutional revenue.
We offer a great work environment, competitive rates and excellent benefits, including:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.