Recovery & Resolution Analyst at Prime Therapeutics Little Rock, AR

Recovery & Resolution Analyst position located in Little Rock, AR. Our work matters. We help people get the medicine they need to feel better and live well. Responsibilities Perform and document collection efforts such as claim adjustments, future payment withholding and coordination with an external collection agency. Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final and accurate; make recommendations on recoupment or adjustment actions as appropriate. Identify accounts subject to collections and coordinate with Senior Recovery and Resolution Analyst to support collection activities conducted by a third party. Review checks submitted to lock box daily to verify they are related to audits or investigations; reject checks received on audits, investigations, or claims that have already been collected. Prepare daily, weekly and monthly recovery reports to support pharmacy, client or internal business needs and communications. Identify and contribute to process improvements to drive efficiency and innovation in the recovery and resolution team. Other duties as assigned. Education & Experience Bachelor’s degree in Finance, Business or related area of study or HS diploma or GED is required. National Pharmacy Technician Certification through PTCB or ExCPT (CPhT). 2 years of work experience in retail, long term care, specialty, home infusion or mail order pharmacy or combined pharmacy and PBM experience. 1 year in claims processing in an operations, audit or quality assurance environment. 1 year in insurance, billing, collections or accounting. Must be eligible to work in the United States without the need for a work visa or residency sponsorship. Additional Qualifications Ability to complete projects independently and within established timeframes. Strong problem‑solving and troubleshooting skills. Proficiency in MS Office (Access, Excel, PowerPoint, Word). Intermediate knowledge of point‑of‑sale and online pharmacy claims processing environment. Excellent oral, written and interpersonal communication. Self‑directed worker with excellent organization and analytical skills. Ability to work on multiple tasks and projects simultaneously. Effective communication with a variety of audiences at all levels. Maintain confidentiality of highly sensitive information. Preferred Qualifications Current registration with the State Board of Pharmacy in the state where the position is located. 1 year of work experience with audit in a regulated environment. Previous PBM experience. Physical Demands Frequently required to sit, use hands to handle or feel, talk and hear. Frequently required to stand, use hands to handle or feel, talk and hear. Frequently required to reach with hands and arms. Occasionally required to stand, walk, stoop, kneel, and crouch. Occasionally required to lift and/or move up to 10 pounds and occasionally to 25 pounds. Specific vision abilities include close, distance, color, peripheral, depth perception and ability to adjust focus. Security and Compliance Every employee must understand, comply with, and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Pay Potential pay for this position ranges from $53,000.00 to $85,000.00 based on experience and skills. Benefits Benefits, incentives and additional compensation details are available on our Benefits Page. Click the 'Benefits at a glance' button for more information. Equal Employment Opportunity Statement Prime Therapeutics LLCis a proud equal‑opportunity and affirmative‑action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state or local law. We welcome applicants from all backgrounds, including those with arrest and conviction records, and those requiring reasonable accommodations. Accessibility If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at View phone number on click.appcast.io or email View email address on click.appcast.io. #J-18808-Ljbffr