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
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 qualifications associated with the job.
While performing the duties of this job, the associate is:
Regularly required to use hands to finger, handle or feel objects, tools or controls, and reach with hands or arms.
Regularly required to talk or hear and read instructions on a computer monitor and/or printed on paper.
Occasionally required to stand, kneel or stoop, and lift and/or move up to ## pounds.
Regularly required to view items at an extremely close range and must be able to adjust and readjust focus.
Safety:
As an Inmar Associate, you:
Put clients first and consistently display a positive attitude and behaviors that demonstrate an awareness and willingness to listen and respond to clients in order to meet their short-term and long-term needs, requirements and exceed their expectations.
Treat clients and teammates with courtesy, consideration and tact; you also have the ability to perceive the needs of internal and external clients and communicate effectively with the objective of delighting and retaining the client.
Build collaborative relationships and work cooperatively with others, inside and outside the organization, to accomplish objectives, develop and maintain mutually beneficial partnerships, leverage information and achieve results.
Set and attain achievable, yet aggressive, goals with a sense of urgency and accountability.
Understand that results are important and focus on turning mission into action to achieve results following the principles of Flawless Execution while consistently complying with quality, service and productivity standards to meet deadlines and exceed expectations by giving our clients the best possible outcomes.
At Inmar, we put people first and that means empowering our associates to thrive at every stage of life and career. Our comprehensive and competitive benefits package is thoughtfully designed to support a wide range of lifestyles and life stages.
Eligible associates have access to:
Medical, Dental, and Vision insurance
Basic and Supplemental Life Insurance options
401(k) retirement plans with company match
Health Spending Accounts (HSA/FSA)
We also offer:
Flexible time off and 11 paid holidays
Family-building benefits, including Maternity, Adoption, and Parental Leave
Tuition Reimbursement and certification support, reflecting our commitment to lifelong learning
Wellness and Mental Health counseling services
Concierge and work/life support resources
Adoption Assistance Reimbursement
Perks and discount programs
Please note that eligibility for some benefits may depend on your job classification and length of employment. Benefits are subject to change and may be governed by specific plan or program terms.
We are an Equal Opportunity Employer, including disability/vets.
Recruitment Fraud Notice:Recruitment fraud is an increasingly common scam where individuals pose as employers to offer fictitious job opportunities. Scammers sometimes impersonate Inmar recruiters on LinkedIn and other channels. We will never ask for payment or sensitive personal information during the hiring process. Verify any role on our official Workday Careers site and learn how to spot scams in ourfull notice.
This position is not eligible for student visa sponsorship, including F-1 OPT or CPT. Candidates must have authorization to work in the U.S. without the need for employer sponsorship now or in the future.
