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Oregon Health & Science University Foundation

Project Coordinator – Pharmacy Billing & Reimbursement

Oregon Health & Science University Foundation

. Manage accurate billing and revenue cycle monitoring of high-cost specialty medications exceeding $100 million annually in payer-billed transactions .

Posted 9/29/2026full-timeUnited StatesMid-LevelSenior💰 $38 - $52 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare billing, revenue cycle management, and payer reimbursement analysis, with a strong focus on compliance with third-party guidelines and financial reporting. Proficient in managing high-cost specialty medications and coordinating patient assistance programs.

Highest-signal resume keywords
Healthcare BillingRevenue Cycle ManagementPayer Reimbursement AnalysisFinancial ReportingICD-10 Coding

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Medical BillingPharmacy Benefit BillingClaim ManagementJ-Code Medical Claims SubmissionMUE LimitsModifiersHospital Billing PracticesPayer ReportingPrior AuthorizationsBenefit Verification
Soft Skills
CollaborationCommunicationProblem-SolvingProject ManagementAnalytical Thinking
Tools & Technologies
EPICCPR+CareTend Pharmacy SoftwareCMS-1500UB-92
Certifications & Qualifications
Formal Billing/Coding CredentialsApexus 340B University Certificate
Industry Keywords
340B Drug Discount Program ComplianceManaged Care OperationsSpecialty PharmacyInfusionHigh-Cost Drugs

About the role

Key responsibilities & impact
  • Manage accurate billing and revenue cycle monitoring of high-cost specialty medications exceeding $100 million annually in payer-billed transactions
  • Perform end-to-end medical and pharmacy benefit billing
  • Coordinate, submit, and track manufacturer-sponsored copay assistance and patient assistance programs
  • Serve as the primary liaison for HTC Assistance Program applications
  • Lead payer denial and underpayment escalations
  • Work with OHSU Professional Billing Services to resolve denied, underpaid, or unpaid claims
  • Collaborate with the HTC Factor Program Manager on billing analysis and financial reporting
  • Prepare and present quarterly financial summaries
  • Monitor CMS HCPCS updates to ensure compliant EHR billing
  • Maintain detailed, account-level claim management
  • Support managed care activities including prior authorizations, benefit verification, and payer reporting
  • Engage in HRSA grant-driven initiatives and objectives throughout each award period
  • Collaborate with other HTCs in the Mountain States region on billing nuances, reimbursement trends, and best practices
  • Complete additional projects as needed
  • Travel to regional meetings or conferences when required

Requirements

What you’ll need
  • Bachelor's degree in Business Administration, Management, Public Administration or a closely related field may be substituted for up to two years of the required experience
  • Four years of experience as an executive assistant, administrative analyst, researcher or administrative officer including administrative duties, technical assistance, or operations review
  • Two required years must include administration or oversight of an ongoing project or program
  • Demonstrated experience with financial reporting and payer reimbursement analysis
  • Knowledge of third-party guidelines, State Medicaid agency guidelines, ICD-10 diagnostic coding, procedural coding, medical and pharmacy billing terminology, and CMS-1500 and UB-92 claim forms
  • Understanding of 340B Drug Discount program compliance preferred
  • Experience with specialty pharmacy, infusion, or high-cost drugs preferred
  • Experience with managed care operations preferred
  • 5 to 7 years of progressive experience in healthcare billing, reimbursement, or revenue cycle management preferred
  • Understanding of J-code medical claims submission, MUE limits, modifiers, and hospital billing practices preferred
  • Experience with CMS medical billing guidelines preferred
  • Previous EPIC experience preferred
  • Previous CPR+ or CareTend Pharmacy dispense software preferred
  • Formal billing/coding credentials preferred
  • Apexus 340B University Certificate preferred
  • Cover letter and resume required; resume must include months and years in MM/YYYY format

Benefits

Comp & perks
  • Opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington
  • Travel may be required to attend regional meetings or conferences relevant to the role