Hospital | Pharmacist
Hospital Pharmacist – Revenue Cycle Claims Analyst (Travel) | Boston, MA Healthcare Jobs
Advance your pharmacy career as a Hospital Pharmacist – Revenue Cycle Claims Analyst in Boston, MA (02118). This travel healthcare job offers the opportunity to work with a leading hospital's accounting and finance department, focusing on pharmacy revenue cycle management and claims analysis. Join our healthcare team in Boston and make a difference in patient care and financial operations.
Pharmacist Job Details
- Location: Boston, MA 02118 (Massachusetts healthcare jobs)
- Setting: Hospital – Accounting/Finance Department
- Employment Type: Travel Pharmacist Position
- Assignment Duration: 13 weeks (July 6, 2025 – October 4, 2025)
- Shift: 8-hour shifts
- Hours per Week: 40 (Guaranteed)
- Bachelor’s degree in Business, Healthcare, Pharmacy, or related field, or equivalent work experience
- Minimum 1 year of experience in healthcare, pharmacy billing, coding, finance, revenue cycle, patient accounting, or physician billing (experience in medical center, oncology, or infusion pharmacy preferred)
- Advanced knowledge of professional billing flows, charge entry, and pharmacy revenue cycle tasks
- Strong analytical, problem-solving, and communication skills
- Familiarity with Medicare, third-party billing, CPT/HCPCS and ICD-10-CM-PCS codes, and drug NDC numbers
- Certified Pharmacy Technician (CPhT) and/or Coding Certification (CPC, RHIT) preferred
- Research, resolve, and prepare pharmacy claims that have not passed payer edits; resolve rejected drug claims
- Act as subject matter expert for provider relationships, reimbursement, and pharmacy claims
- Monitor and analyze claim rejections; recommend system enhancements to prevent ongoing issues
- Ensure compliance with Medicare, state, and federal pharmacy billing guidelines
- Collaborate with pharmacy and revenue cycle teams to improve denials management and reduce avoidable write-offs
- Convert pharmacy drug quantities into Medicare billing units and ensure timely processing of billable pharmacy services
- Respond to inquiries regarding compliance, payor policies, coding, denials, and billable pharmacy services
- Prepare reports and present findings to hospital stakeholders
- Educate team members on pharmacy revenue cycle metrics and key performance indicators (KPIs)
Benefits
401K with Matching, Healthcare, Dental and Vision
About GHR
With over 30 years of healthcare staffing experience, GHR Healthcare is your trusted partner in finding the perfect contract or permanent role in the healthcare industry. Our specialized teams have placed thousands of healthcare professionals nationwide. You will have a dedicated recruiter, providing access to new opportunities and guidance every step of the way. Whatever your career goals, GHR Healthcare is here to support you and find your perfect fit. Get to know us:
Equal Opportunity
We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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