PHARMACY TECHNICIAN 2 - SPECIALTY PHARMACY BILLING (FULL-TIME, DAY SHIFTS)
University of Washington
Location: Seattle, Washington
Type: Full Time
Internal Number: 191696
Join our award-winning team at University of Washington Medical Center (UWMC). Among the top medical centers in the United States, and ranked as the number 1 hospital in Washington State, as rated by U.S. News & World Report 2018-2019 "America's Best Hospitals", UWMC prides itself on compassionate patient care as well as its pioneering medical advances. UWMC is operated 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. As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here.
TheUW Medical Center - Montlake - Pharmacy has an outstanding opportunity for a FULL-TIME PHARMACY TECHNICIAN 2 – SPECIALTY PHARMACY BILLING (Day Shifts). The Pharmacy Technician 2 will non-professional/technical tasks related to the management of third-party billing for patients served by the Outpatient Pharmacies. Act as a liaison between the program 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 insurance 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 program 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 Program 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 and procedures. • Train pharmacy assistants, technicians, students and interns on specialized job duties as assigned. • Perform the duties of a Pharmacy Technician I. • Perform related duties as assigned
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.