As the region's only Level I Trauma center, Harborview Medical Center (HMC) 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 UW 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, and natural beauty.
Specialty Pharmacy Services has an outstanding opportunity for a Full Time Pharmacy Technician 2, Specialty Pharmacy Billing Technician (Pharmacy Technician 2). This individual will perform non-professional/technical tasks related to the management of third-party billing for patients served by the Pharmacies. Act 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.
1. 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.
2. Provide customer service through the Specialty Pharmacy Call Center. Triage patient calls to appropriate party.
3. Provide monthly adherence phone calls to patients.
4. Function as primary third party billing resource for Outpatient pharmacy staff.
5. Contact Department of Health and caseworkers and patients with regard to missing documents for insurance plans.
6. 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.
7. 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.
8. Contact payers for lost medication overrides, replacement and vacation override approvals.
9. Identify patients who may qualify for patient medication assistance programs or copay assistance.
10. Assist with prescription audits.
11. Participate in the Specialty Pharmacy quality management program as part of the Specialty Pharmacy Committee.
12. Establish and maintain good working relationships with billing operations specialists and Outpatient Clinic pharmacy staff to maintain effective communication regarding third-party billing issues.
13. Educate pharmacy staff about third-party billing policies and procedures as needed.
14. Assist in the development, implementation, and evaluation of third-party billing policies and procedures.
15. Assure that policies and procedures are followed in coordination with the Billing Operations Specialists, Leads, Manager and Director.
16. Generate reports at the request of the Manager or Director.
17. Assure compliance with all pharmacy laws and regulations.
18. Know and follow all Pharmacy department policies.
19. Perform the duties of a Pharmacy Technician I.
20. Perform related duties as assigned.
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 a complete description of our benefits for this position, please view this page.
Legal Requirement: Licensure as a Pharmacy Technician with the Washington State Board of Pharmacy.
6 months of pharmacy experience.
A minimum of two years of experience as a Pharmacy Technician. Excellent communication and organization skills.
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 undergra...duate 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.