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Pharmacy Accounts Receivable I

Columbia Valley Community Health CenterWenatchee, WA

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Job Description

JOB SUMMARY

The Pharmacy Accounts Receivable (AR) Specialist is responsible for managing the full cycle of accounts receivable for the pharmacy, including payment posting, reconciliation, collections, and reporting. This role ensures accuracy, compliance with payer requirements, and timely reconciliation of all accounts, with a focus on using the PioneerRx system to track, monitor, and reconcile transactions. The Specialist also processes sliding scale copay adjustments to support patient affordability and equitable access to medications.

JOB SPECIFIC COMPETENCIES

Cash Receipts & Accounts Receivable Management

  • Perform daily cash management duties, including the recording of bank deposits, and verification that payments are properly posted in PioneerRX.
  • Exercise integrity and confidentiality in financial reporting.
  • Record daily bank deposits.
  • Verify that all payments are properly posted in PioneerRx and promptly resolve discrepancies.
  • Primary responsibility for daily cash deposits.
  • Generate and distribute AR aging reports and escalate past-due accounts as needed.

Sliding Scale Discounts & Patient Accounts

  • Process approved sliding scale discounts for patient copays and ensure proper posting in PioneerRx.
  • Ensure that sliding scale adjustments are accurately reflected in AR reconciliation.

Reconciliation & PioneerRx Integration

  • Perform daily, weekly, and monthly reconciliation of AR balances within PioneerRx and the general ledger.
  • Match PioneerRx transactions against bank deposits, EFTs, and insurance remittances to ensure accuracy.
  • Identify and resolve discrepancies between PioneerRx and the accounting/ERP system.

Collaboration & Reporting

  • Work closely with pharmacy staff to resolve AR and reconciliation issues.
  • Provide regular AR and cash flow reports to management, highlighting trends, risks, and opportunities for improvement.
  • Support internal and external audits by providing documentation and reconciliation reports.

Primary Back-Up to Senior Accounts Receivable

GENERAL DUTIES AND RESPONSIBILITIES

  • Performs other duties and tasks as assigned by supervisor.
  • Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
  • Conforms to safety policies, general housekeeping practices.
  • Demonstrates sound work ethics, flexible, and shows dedication to the position and the community.
  • Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers.
  • Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others.
  • Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others.
  • Conforms to CVCH policies, Joint Commission standards and HIPAA regulations.

JOB SPECIFICATIONS

EDUCATION

  • High School Diploma or equivalent. Prefer AA degree in Business or Accounting.

CERTIFICATIONS/LICENSURE

  • None

EXPERIENCE

  • Office bookkeeping experience with a minimum of one (1) year Accounts Receivable experience. May substitute education and training/certification for experience. Healthcare experience preferred.

LANGUAGE SKILLS

  • English fluency required
  • English and Spanish preferred

Skills & Competencies needed:

  • Strong interpersonal and communication skills.
  • Proficiency in HRIS and applicant tracking systems .
  • Knowledge of employment laws and recruitment best practices.
  • Analytical and problem-solving abilities.
  • Ability to manage sensitive and confidential information.
  • Ability to work independently and collaboratively.

Work Environment & Physical Demands:

  • Typical office environment.
  • Sit, stand, walk, frequently.
  • Occasionally lift up to 10 pounds.
  • Kneel or crouch minimally.
  • Visual acuity for close and distance work.

Exposure to Hazards:

  • Moderate noise.
  • Standard administrative working conditions.

Blood/Fluid Exposure Risk:

  • Category III - Tasks involve no greater exposure to blood or body fluids than would be encountered by a visitor.

Age-Specific Competency:

  • Not applicable - position does not involve patient care.

Telecommuting:

  • Position NOT eligible for Telecommuting

Equal Opportunity Statement:

CVCH is an equal opportunity employer and embraces diversity in the workplace. We are committed to providing a respectful, inclusive, and supportive environment for all employees.

Benefits

  • Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE

Benefit:

Coverage:

Effective:

Medical

Premera (Self Insured)

Preferred Provider

Employee covered - $60.00 per month

Dependents covered - please refer to the benefits Guide 2025 for rates

First of the month following the first date of employment.

Dental

Washington Dental

Employee covered- 100%

Dependents covered- 50%

First of the month following the first date of employment.

Paid Leave

120 hours- Year 1

136 hours- Year 2

Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.

Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB.

Extended Illness Bank (EIB)

Allows for maximum accrual of 200 hours

PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.

Holidays

88 hours related to:

  • New Year's Day
  • Memorial Day
  • 4th of July
  • Labor Day
  • Thanksgiving Day
  • Day after Thanksgiving
  • Christmas Eve
  • Christmas Day
  • 3 Diversity Days

Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee's timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below:

  • Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)
  • May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE)
  • Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE)

Please refer to the Paid Leave policy for additional details.

403(b) Retirement Plan

Lincoln Financial

150% CVCH match up to 3% of the employee's contribution

Immediately. Vesting schedule:

20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.

Employee Assistance Program

Mutual of Omaha

Free short-term counseling for employee and family

Immediately. Call 800-316-2796

Long-term Disability

Mutual of Omaha

Employee Only (variable)

First of the month following the first date of employment.

Benefit:

Coverage:

Effective:

Basic Term Life

Mutual of Omaha

Employee Only (1x annual salary, up to $200,000)

First of the month following the first date of employment.

Group Accidental Death and Dismemberment (AD&D)

Mutual of Omaha

Employee Only (1x annual salary, up to $200,000)

First of the month following the first date of employment.

Supplemental Term Life

Mutual of Omaha

Employee / Spouse / Dependent(s)

First of the month following the first date of employment.

Voluntary AD&D

Mutual of Omaha

Employee / Family

First of the month following the first date of employment.

Health Reimbursement Arrangement

RedQuote

Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year.

First of the month following the first date of employment.

Flex Plan: Medical

RedQuote

Flex Plan: Maximum $3,300 per year

Direct Deposit available

First of the month following the first date of employment.

Flex Plan: Dependent Care

RedQuote

Flex Plan: Maximum $5,000 per year

Direct Deposit available

First of the month following the first date of employment.

AFLAC

Supplemental insurance - cafeteria plan

First of the month following the first date of employment.

Wellness Stipend

CVCH will reimburse staff up to $30 per month for a local gym membership

OR

CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.)

Immediately. Once employee has submitted invoice to HR/Payroll department.

Cell Phone Discounts

Discounted monthly access fees

Discounted select accessories and special equipment

Available for personal cell phones, currently in place with AT&T & Verizon

Benefit:

Coverage:

Effective:

Tuition Reimbursement

For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of:

  • $4,000 for an Associate's degree, vocational, technical, or certification program
  • $6,000 for a Bachelor's degree
  • $8,000 for a Master's degree

Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply.

Employees must agree to work for a period of one (1) year from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams.

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