Revenue Specialist

340B Revenue Specialist

Reports to: Director of Finance Technology & Data Resources

Position Overview: The 340B Revenue Specialist is responsible for the data transfer from the agency's electronic medical records system (EcW), into Sage Intacct, and processing payment data from third-party administrators (TPAs). This role supports the Director of Finance Technology & Data Resources (DFT), in all aspects of 340B data recognition and is responsible for consistently following existing protocols for 340B revenue & payment recognition. The 340B Revenue Specialist will assist in analyzing & reporting outstanding scripts and is required to follow up, as needed, to ensure qualified scripts are reimbursed.

Job Duties & Responsibilities:

• Access data to capture monthly revenue activity, as revenue estimates for 340B
• Record drug expense estimate, based on revenue entry, to recognize inventory reduction.
• Recognize 340B inventory purchases clearing the Pharmacy bank account. Coordinate with DFT, to true up inventory general ledger, to TPA inventory.
• Utilize TPA payment data to create reversal of applicable revenue estimates, and entry of revised, actual revenue (net adjustment) in the current open month.
• Record dispensing and administrative fees from TPAs.
• Record payment information from TPA and apply to script-level receivables.
• Analyze outstanding and unpaid scripts. Follow through to complete script qualifications and/or to communicate to TPA, for additional information.
• Work with DFT to ensure that all scripts are paid, or written off.
• Assist in the creation and reporting of KPIs related to 340B, as requested.

Revenue Verification and Reconciliation:

• Confirm revenue estimates tie back to EcW, reflecting revenue in the month of the medical appointment.
• Confirm revenue estimate reversals and revised revenue are recorded in the open month.
• Confirm general ledger TB for inventory, to total TPA inventory.

Communication and Coordination:

• Communicate with program staff regarding data inconsistencies or discrepancies.
• Communicate with DFT, or contractors (APIs), to ensure accuracy of imports.
• Ensure data transfer occurs with little or no modification, from the original source to Sage Intacct. Report to DFT, any instances where manual edits are required.
• Maintain adherence to data capture & import processes, & security protocols.

General Ledger Support:

• Assist DFT, in all aspects related to accurate recognition of agency 340B revenue, as reported in agency financial statements.
• Complete analysis activities and special projects assigned by the DFT or CFO.
• Develop a clear understanding of key individual accounting controls related to data capture, revenue recognition, and accounts receivable.

Job Requirements & Qualifications:

• Have a clear understanding of 340B and complete necessary training to understand compliance with 340B regulations, as it relates to Resource Center programs.
• Strong process management and time management skills.
• Attention to detail and accuracy in data capture.
• Proficiency in Microsoft Excel and other Microsoft products.