The Ohio State University Wexner Medical Center · 16 hours ago
Senior Pharmacy Audit and Reconciliation Coordinator
Columbus, OH
Full-time
Onsite
Mid, Senior Level
3+ years expThe Ohio State University Wexner Medical Center is seeking a Senior Pharmacy Audit and Reconciliation Coordinator who provides expert knowledge in Medicare billing and audit requirements for pharmacy-dispensed products. This role involves managing audits and compliance for pharmacy claims, ensuring regulatory adherence, and overseeing the revenue cycle for retail and specialty pharmacy.
Health CareHospitalMedical
Responsibilities
Oversees Medicare and pharmacy benefit manager audit management and response
Audit and compliance for retail and specialty pharmacy claims billed to Medicare, Medicaid, and pharmacy benefit managers
Requires an expert understanding of regulatory knowledge related to billing and payment of retail, specialty, and Medicare pharmacy claims
Oversight of all audits of retail and specialty prescription claims
Management of the OSU OP revenue cycle, including the escalation of complex claims and unpaid or denied claims
Qualification
Required
Bachelor's in Business, healthcare or related field or equivalent combination of education and related experience
3 years of experience as a Pharmacy Audit and Reconciliation Coordinator (S2) or similar position at another Health System
Must be registered technician with the State of Ohio Board of Pharmacy
Hold active PTCB/NHA certification
Preferred
4 to 8 years of relevant experience
Company
The Ohio State University Wexner Medical Center
The Ohio State University Wexner Medical Center is personalizing health care to meet the needs of each patient. It is a sub-organization of The Ohio State University.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Emile Daoud
Chief, Cardiac Electrophysiology Section
Recent News
2025-10-09
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