Claims Analyst Pharmacy Revenue Cycle
Saviance Technologies · Posted Aug 4, 2026
- Massachusetts, United States
- Associate
- 1–3 years
Responsible for pursuing insurance companies for payment or underpayment of services rendered through extensive telephone and written correspondence, and substantiating accurate reimbursement.
Responsibilities
- Research, resolve, and prepare claims that have not passed the payer edits daily
- Serve as subject matter expert for strategic provider relationships, service issues, reimbursement and claims
- Monitor rejections on all electronic and paper claims to determine where enhancements or fixes are needed in system edits
- Collaborates with team and other revenue cycle departments to improve denials, avoidable write-offs
- Research, analyze, and respond to inquiries regarding compliance, payor policies and guidelines, inappropriate coding, denials, and billable services
Requirements
- Bachelor’s degree in Business, Healthcare or closely related field or equivalent work experience
- Nice to have: Certified Pharmacy Technician
- Nice to have: Coding Certification CPC
- Nice to have: Coding Certification RHIT