Pharmacy Claims Reconciliation Specialist - CPhT Preferred

The Pharmacy Claims Reconciliation Specialist is responsible for reconciling pharmacy claims and insurance payments to ensure reimbursement accuracy and resolve billing discrepancies. This role serves as a key liaison between pharmacy, finance, and operational teams by validating claim adjudication, researching payment variances, and maintaining the integrity of reimbursement data. The position supports revenue cycle activities through detailed analysis of claims, payments, denials, and reimbursement trends. The Pharmacy Claims Reconciliation Specialist also helps improve processes, ensure compliance, and support accurate financial reporting.