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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 .
Core Competencies
Role fitCore 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
Tailor your resumeApplicant 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