340B Specialist

Posted 8 Days Ago
Be an Early Applicant
Providence, RI, USA
In-Office
Junior
Healthtech
The Role
Supports 340B financial analysis, claims eligibility verification, compliance audits, revenue reporting, referral claim processing, and EHR documentation. Develops procedures to maximize referral program revenue and oversees Par8o and ReferDoc operations. Collaborates with referral and medical records teams while independently managing tasks and reports.
Summary Generated by Built In

Overview:
Assists in providing 340B financial analysis. Ensures 340B claims meet eligibility criteria. Assist the Executive Director, Accountable Entity in maximizing 340B Revenue. Demonstrates advanced proficiency in data management and Microsoft Office, along with the ability to work independently through task completion. Works closely with referral team and is responsible for 340B referral program maximization.

Essential Duties & Responsibilities:
•Conducts audits for compliance with OPA/HRSA and other regulatory bodies relating to 340B claims.
•Assists in developing and updating documents, processes, and procedures for daily operations and monthly financial reporting
•Assists in preparing reports regarding 340b business operations, revenue and expenses.
•Navigates EHR to verify 340B eligible claims.
•Processes and documents new 340B eligible referral claims.
•Works closely with referral team and medical records to ensure appropriate documentation exists within EHR.
•Develops referral program capabilities and processes to ensure 340b program maximization
•Responsible for the oversight and operation of the Par8o and ReferDoc business at PCHC.

Qualifications:
•Minimum two years of experience required analyzing data and creating reports preferred.
•Minimum one year of experience navigating electronic health record data preferred.

Education:
•Bachelor’s degree (Business or Finance preferred but other majors will be considered).

PCHC is EOE/M/F/D/V/SO

Skills Required

  • Bachelor's degree; Business or Finance preferred, though other majors considered
  • At least two years of experience analyzing data and creating reports
  • At least one year of experience navigating electronic health record data
  • Advanced proficiency in data management and Microsoft Office
  • Ability to work independently through task completion
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The Company
HQ: Providence, Rhode Island
301 Employees
Year Founded: 1968

What We Do

Established in 1968, we are the largest primary health care provider in Providence and treat patients regardless of their ability to pay. PCHC is committed to building upon our longstanding history of providing primary services such as prenatal care, pediatrics, adolescent medicine, adult medicine and elder care. In meeting the growing needs of our current and future patients, we also provide specialty care, school-based services, and community-focused patient education. We dedicate ourselves to collaborating with government agencies and other organizations to meet the medical and service support needs of the families and individuals that we are privileged to serve.

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