Reporting Analyst

nder the direction of a Supervisor, the Reporting Analyst in PFM Exceptions Management works directly with the client to manage the past due balances of the client's third-party prescription receivables. The Reporting Analyst performs detailed analysis to identify missing payment or data opportunities and is responsible for pursuing those opportunities by contacting Pharmacy Benefit Managers (PBM's), industry payers and other third-party processors on behalf of clients in order to meet contractual agreements. Duties also include assisting with on-boarding of new clients, cross-training with other team members, developing and improving operating processes, monitoring system processes, recommending product enhancements and system testing.

Primary Accountabilities:

• Analytical
   

  • Research and resolve open claims by comparing unapplied cash

  • Perform open claims-to-cash comparisons for trending and routine clean-up recommendations

  • Contact industry players via phone and e-mail to facilitate action, developing follow-up strategy and documenting activity/results for clients

  • Utilize Pharmacy Financial Management (PFM) to aid in analysis, tracking results and pending efforts

  • Develop additional tracking methods to report analysis results in multiple formats and business case scenarios

• Operational
   

  • Facilitate conference calls and/or face-to-face meetings with clients

  • Create detailed spreadsheets or charts to present trending results

  • Make recommendations to clients for business rules based on professional judgment and accounting practices

  • Identify opportunities for improvement to client pharmacy operations to minimize unresolved or overstated balances

  • Develop analysis methods to quickly identify collection opportunities and maximize results

  • Develop best practices/standard reporting for client and internal communication

  • Administrative Identify system enhancements and working with IT/Product to define, implement and test enhancements

  • Meet client service level agreements related to collection practices and write-off percentages

  • Review details of exceptions management process/methodology

  • Manage day-to-day client relationships

  • Present cost/time savings estimates and final results

  • Assist account team with business review presentations

  • Maintain HIPAA (Health Insurance Portability and Accountability Act) compliance in all client communication

  • Inform team members and management on client cases, successes, and current inquiries

  • Cross train other associates to be backup when out of the office

• Influence
   

  • Review exceptions management service by discussing Inmar and client’s responsibilities

  • Recommend guidelines and best practices for business rules

  • Establish industry contacts and communication methods

  • Perform special projects and other duties as assigned by management

Additional Responsibilities:

• Performs other duties as assigned

• Complies with all policies and standards

Required Qualifications:

• At least four years of relevant experience involving customer service, computer usage, data entry and data analysis and a Bachelors’ degree in Business Administration, Accounting, or a related field: OR an equivalent combination of training and experience required to complete the essential functions/job responsibilities of the position
    

• Knowledge of generally accepted accounting principles

• Knowledge of accounting procedures on automated systems

• Intermediate-level proficiency using MS Excel and MS Word

• Knowledge of computer systems and report generation (AS/400 knowledge preferred)

• Knowledge of servicing business accounts

Physical Demands

The physical demands described here are representative of those that must be met by an associate to successfully perform the major job responsibilities (essential functions) of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the major job responsibilities. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

• Use Hands to Handle Objects - Regularly

• Reach with Hands or Arms - Regularly

• Talk or Hear and Read Instructions - Regularly

• Stand, Kneel, or Stoop and Lift 20 Pounds - Occasionally

• View Items at a Close Range - Regularly

Rarely: Job requires this activity up to 25% of the time

Occasionally: Job requires this activity between 25% - 50% of the time

Frequently: Job requires this activity between 50% - 75% of the time

Constantly: Job requires this activity more than 75% of the time

Individual Competencies

• Adaptable: Arrives at a conclusion based on previous experiences and good judgment.

• Teamwork: Advanced communication skills used to lead a team.

• Analytical and Critical Thinking: Communicates using persuasion and authority.

• Communication: Contributes to strategy for their team.

• Curious: Asseses circumstances using experience and a variety of information gathered.

• Collaboration: Creates internal alliances outside the immediate team or department.

• Problem Solving: Completes routine and repetitive tasks where tasks are straightforward.

As an Inmar Associate, you:

• Put clients first and consistently display a positive attitude and behaviors that demonstrate an awareness and willingness to listen and respond to clients in order to meet their short-term and long-term needs, requirements and exceed their expectations.

• Treat clients and teammates with courtesy, consideration and tact; you also have the ability to perceive the needs of internal and external clients and communicate effectively with the objective of delighting and retaining the client.

• Build collaborative relationships and work cooperatively with others, inside and outside the organization, to accomplish objectives, develop and maintain mutually beneficial partnerships, leverage information and achieve results.

• Set and attain achievable, yet aggressive, goals with a sense of urgency and accountability.

• Understand that results are important and focus on turning mission into action to achieve results following the principles of Flawless Execution while consistently complying with quality, service and productivity standards to meet deadlines and exceed expectations by giving our clients the best possible outcome.

• Support a safe work environment by following safety rules and regulations and reporting all safety hazards.

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We are an Equal Opportunity Employer, including disability/vets.