University of Washington PHARMACY TECHNICIAN 2 - SPECIALTY PHARMACY BILLING TECHNICIAN (FULL-TIME, DAY SHIFTS) in Seattle, Washington
Req #: 198222
Department: HARBORVIEW MEDICAL CENTER PHARMACY
Posting Date: 11/19/2021
Closing Info: Open Until Filled
Salary: $3,720 - $5,826 per month
Shift: First Shift
This recruitment offers a $4,000 Recruitment Incentive to eligible new employees joining UW Medicine#UWMRecruitmentIncentive As the region's only Level I Trauma center, Harborview Medical Center is well known for innovations and excellence in trauma care and its centers of emphasis: Trauma, Burn, Neurosciences, AIDS/STD CARER, and mentally and medically vulnerable populations. In addition to the centers of emphasis, HMC serves a mission population for King County. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. HMC is owned by King County and managed by the University of Washington (UW) and serves as a training site for UW’s School of Medicine. The University of Washington is proud to be one of the nation’s premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty. This position provides opportunities to work in a fast-paced, challenging, diverse and rewarding environment. As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here. HARBORVIEW MEDICAL CENTER PHARMACY has an outstanding opportunity for a FULL-TIME PHARMACY TECHNICIAN 2 – SPECIALTY PHARMACY BILLING TECHNICIAN (Day Shifts). The Pharmacy Technician 2 will perform non-professional/technical tasks related to the management of third-party billing for patients served by the Outpatient Pharmacies and acts as a liaison between the billing operations specialist and the pharmacy staff to ensure effective communication regarding billing issues. All activities shall be performed under the supervision of a registered pharmacist. RESPONSIBILITIES: • Review and screen new patients at intake to determine if patient has adequate prescription coverage. Refer appropriate patients to financial counseling for coverage or charity application. • Provide customer service through the Specialty Pharmacy Call Center. Triage patient calls to appropriate party. • Provide monthly adherence phone calls to patients • Function as primary third party billing resource for Outpatient pharmacy staff. • Contact Department of Health and caseworkers and patients with regard to missing documents for insurance plans. • Work with financial counselors, HRSA, social workers, financial advocates and patients to monitor and review patients in spend-down or pending DSHS status. Review pending reports from pharmacy management system and rebill claims when coverage is granted. • Troubleshoot and resolve billing rejections and subsequently rebill claims to appropriate carrier for all commercial, federal, and state insurance plans. Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate. • Contact payers for lost medication overrides, replacement and vacation override approvals. • Identify patients who may qualify for patient medication assistance programs or copay assistance. • Assist with prescription audits. • Participate in the Specialty Pharmacy quality management program as part of the Specialty Pharmacy Committee. • Establish and maintain good working relationships with billing operations specialists and Outpatient Clinic pharmacy staff to maintain effective communication regarding third-party billing issues. • Educate pharmacy staff about third-party billing policies and procedures as needed. • Assist in the development, implementation, and evaluation of third-party billing policies and procedures. • Assure that policies and procedures are followed in coordination with the Billing Operations Specialists, Leads, Manager and Director. • Generate reports at the request of the Manager or Director. • Assure compliance with all pharmacy laws and regulations. • Know and follow all Pharmacy department policies. • Perform the duties of a Pharmacy Technician I. • Perform related duties as assigned DESIRED: • A minimum of six months of experience as a Pharmacy Technician I. • High school education or GED certificate. • Excellent communication and organization skills.
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
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