Data Production Specialist, Pharmacy Billing

Who is ScriptPro? Imagine working at a place where innovation meets impact, and every day brings new opportunities to revolutionize the pharmacy industry! At ScriptPro, you’ll be part of a dynamic team that’s at the cutting edge of technology, creating solutions that make a real difference in people’s lives. ScriptPro develops, sells, and supports state of the art robotics and services in thousands of pharmacy settings around the United States and Canada. The Pharmacy Strategy and Informatics department is a dynamic, forward‑thinking team that supports the pharmacy claim adjudication framework for ScriptPro’s customers. This group thrives on turning ideas into meaningful improvements that support pharmacies and strengthen ScriptPro’s overall mission. You’ll collaborate across the organization, contribute to innovative projects, and be part of a team that thrives in a fast‑evolving industry. We’re looking for someone who thrives on big‑picture thinking, creative problem‑solving, and making a meaningful impact. Job Summary: The Payer Sheet Specialist at ScriptPro plays a key role in supporting the insurance database within the Pharmacy Management System (PMS). This position involves interpreting national standards and collaborating with software developers and insurance data specialists to ensure accurate claim adjudication. The specialist will lead others, apply creative problem-solving, and utilize custom scripting and SQL to maintain and test payer sheets. Strong communication, organization, and a proactive approach to learning are essential for success in this role. Reporting Relationship: Supervisor, Data Production Shift: Generally, Monday through Friday 8 am to 5 pm CST. This role is primarily performed remotely, though Kansas City Metro employees may have on-campus requirements according to business need. Generally, all positions may be performed on-campus. Regular, punctual, and predictable attendance is an essential function of every job at ScriptPro. Scope of the Role:

• Utilize ScriptPro’s payer sheet custom language to generate a desired claim submission output
• Create the appropriate code to achieve a desired output
• Describe what is happening in a particular field's/segment's code
• Describe what dependencies exist for a particular field's/segment's code
• Use ScriptPro’s internal adjudication simulator to properly test the payer sheet
• Interpret exception errors and resolve problems with payer sheet syntax/operation
• Perform payer sheet reviews and tests to ensure that ScriptPro standards are followed
• Assist employees with software tests related to claim processing
• Provide suggestions for departmental process improvements and workflow documentation
• Process payer sheets in response to industry notifications received
• Assist staff members with weekly data release procedures
• Evaluate industry announcements for potential third party data modifications
• Develop and execute basic to intermediate SQL queries
• Collect utilization data sets to facilitate performance analytics
• Perform other duties as assigned

Required Qualifications:

• Bachelor’s in Business, Finance or related field preferred
• Fundamental programming experience
• Working knowledge of the claim adjudication process for pharmacies
• Familiarity with Microsoft Outlook, Word, Excel, Access
• Rudimentary understanding of Structured Query Language (SQL)
• Excellent communication and organizational skills
• Self-motivated with the ability to follow department procedures and manage/prioritize workload
• Polite, helpful, and positive with internal and external customers
• Willingness to learn and meet new challenges with enthusiasm

Remote Work Requirements:

• Must have high-speed reliable internet access with a hard-wired connection
• Must have a distraction free home office workspace
• Must be willing to participate in video virtual meetings (camera on)

Benefits: At ScriptPro, we believe that our employees are our greatest asset. That’s why we are committed to fostering a workplace that prioritizes and enhances your personal health and well-being.

• Health:

Medical, Dental, Vision, Short-Term Disability, Company Paid Life Insurance & Long-Term Disability, 24/7 on campus Gym, and Vitality Wellness Program that helps lower your premium costs

• Well-being:

Paid Time Off (PTO), Parental Leave, nine (9) paid holidays, paid volunteer hours, Employee Assistance Program, company-sponsored events and team-building activities, 401(k) Retirement Plan Apply tot his job Apply To this Job