Reporting Analyst, PFM Exceptions Management

Benefits

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Under the direction of a Supervisor, the Reporting Analyst in PFM Exceptions Management works directly with the client to manage the past due balances of the client's third-party prescription receivables. The Reporting Analyst performs detailed analysis to identify missing payment or data opportunities and is responsible for pursuing those opportunities by contacting Pharmacy Benefit Managers (PBM's), industry payers and other third-party processors on behalf of clients in order to meet contractual agreements. Duties also include assisting with on-boarding of new clients, cross-training with other team members, developing and improving operating processes, monitoring system processes, recommending product enhancements and system testing. Primary Accountabilities: Analytical Research and resolve open claims by comparing unapplied cash Perform open claims-to-cash comparisons for trending and routine clean-up recommendations Contact industry players via phone and e-mail to facilitate action, developing follow-up strategy and documenting activity/results for clients Utilize Pharmacy Financial Management (PFM) to aid in analysis, tracking results and pending efforts Develop additional tracking methods to report analysis results in multiple formats and business case scenarios Operational Facilitate conference calls and/or face-to-face meetings with clients Create detailed spreadsheets or charts to present trending results Make recommendations to clients for business rules based on professional judgment and accounting practices Identify opportunities for improvement to client pharmacy operations to minimize unresolved or overstated balances Develop analysis methods to quickly identify collection opportunities and maximize results Develop best practices/standard reporting for client and internal communication Administrative Identify system enhancements and working with IT/Product to define, implement and test enhancements Meet client service level agreements related to collection practices and write-off percentages Review details of exceptions management process/methodology Manage day-to-day client relationships Present cost/time savings estimates and final results Assist account team with business review presentations Maintain HIPAA (Health Insurance Portability and Accountability Act) compliance in all client communication Inform team members and management on client cases, successes, and current inquiries Cross train other associates to be backup when out of the office Influence Review exceptions management service by discussing Inmar and client's responsibilities Recommend guidelines and best practices for business rules Establish industry contacts and communication methods Perform special projects and other duties as assigned by management Required Qualifications: At least four years of relevant experience involving customer service, computer usage, data entry and data analysis and a Bachelors' degree in Business Administration, Accounting, or a related field: OR an equivalent combination of training and experience required to complete the essential functions/job responsibilities of the position Knowledge of generally accepted accounting principles Knowledge of accounting procedures on automated systems Intermediate-level proficiency using MS Excel and MS Word Knowledge of computer systems and report generation (AS/400 knowledge preferred) Knowledge of servicing business accounts Individual Competencies: Adaptable : Responds to change with a willingness to learn new ways to accomplish work. Teamwork: Builds relationships and works cooperatively with others, inside and outside the organization, to accomplish objectives to build and maintain mutually beneficial partnerships, leverage information and achieve results. Analytical and Critical Thinking: Ability to tackle a problem by using a logical, systematic, sequential approach. Communication: Giving and receiving messages and information in written, oral, and visual formats in a clear and concise way for a complete understanding of meaning and intent. Curious: A desire to inquire and learn, to seek new knowledge and wisdom, and to listen to the contributions of others with a genuine interest to better self, the team, and the organization. Problem Solving: Gathers and analyzes information to generate and evaluate solutions to problems, issues and challenges while weighing the accuracy and relevance of the facts, data and information. Collaboration: Works collaboratively with others to achieve group goals and objectives. The physical demands described here are representative of those that must be met by an associate to successfully perform the major job responsibilities (essential functions) of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the major job responsibilities. This job description is not intended to be an exhaustive list of all duties, responsibilities, or quali

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