Pharmacy Audit and Reconciliation Coordinator

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact [email protected] . If you have questions while submitting an application, please review these frequently asked questions .

Current Employees and Students:

If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.

Welcome to The Ohio State University's career site.  We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:

• Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.

• Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. 

Job Title:
Pharmacy Audit and Reconciliation Coordinator

Department:
Retail Rx | OSU Outpatient Pharmacy CCCT

Scope of Position

The Revenue Integrity Specialist optimizes the payment cycle for retail and specialty pharmacy claims. This role ensures accurate workflow of pharmacy accounts, reviews payments for accuracy, aligns collections with contracts, and follows up with insurance companies. The specialist secures third-party payments, ensures compliance with payer contracts, and maintains accurate secondary billing processes and vendor data feeds. They advocate for efficient claim resolution, provide proactive follow-up, and identify trends to ensure process accuracy. Additionally, they contribute to scalable process improvements, respond to and defend audit requests from commercial health plans/payors, and ensure the accuracy and completeness of claims to retain reimbursement.

Position Summary

The Ohio State University (OSU) Outpatient Pharmacy’s mission is to improve people’s lives through pharmacy practice innovation, comprehensive medication education, and collaborative clinical and practice research. The OSU Outpatient Pharmacy generates more $250M in annual revenue and processes more than 250,000 claims at 8 pharmacy locations. This position will provide claims reconciliation, claims filing, audit support and response and reimbursement challenges for all 8 OSU Outpatient Pharmacy sites.

Minimum Qualifications

Bachelor's Degree or equivalent combination of education and experience. Certified Pharmacy Technician. 2 years of relevant experience required. 2-4 years of relevant experience preferred.

Additional Information:

Location:
Ackerman Rd, 660 (0242)

Position Type:
Regular

Scheduled Hours:
40

Shift:
Varying Shifts

Final candidates are subject to successful completion of a background check.  A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions .

The university is an equal opportunity employer, including veterans and disability.