Providence Health & Services Pharmacy Technician Billing and Medical Documentation Support Specialist in Spokane, Washington
Providence is calling a Pharmacy Technician Billing and Medical Documentation Support Specialist (Pharmacy Home and Ambulatory Infusion, Day Shift, 1.0 FTE) to Providence Infusion and Pharmacy Services in Spokane, Washington. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.
In this position you will:
Integrate the PSJH mission, corevalues (Integrity, Compassion, Justice, Excellence, and Dignity), Vision and Promise into routine management practices and decision making.
Coordinate and review patient accounts to verify accuracy and completeness of pharmacy filling, clinical documentation, intake documentation, regulatory forms, proof of delivery, accurate/complete coding, insurance reimbursement, and appropriate receipt of payments.
Advocate for patients by supporting enrollment in and utilization of programs that lower medication and other service-related out-of-pocket costs
Occasionally process NCPDP claims via adjudication specific to patient health insurance benefits or Medicare Part D Benefits.
Assess denied or partially paid claims to ensure that reprocessing occurs within timely billing allowance for full reimbursement.
Verify patient information and member insurance eligibility for benefits via computer technology or by telephone. Obtain and/or utilize pre-authorizations as required by the payer.
Prepare and monitor reports on patient accounts for billing and/or compliance issues that require investigation and correction.
Work in concert with medical records, health information management and referral/benefit/authorization team as well as clinical and operational leaders.
Required qualifications for this position include:
High School Diploma or GED
Current Washington State Board of Pharmacy Technician license
Certification from the Pharmacy Technician Certification Board (PTCB)
2 to 3 years of experience in health care or pharmacy billing, collections or medical claims processing
2 to 3 years of experience as a pharmacy technician in a specialty setting (e.g. Long Term Care, Infusion or Specialty Pharmacy) or three years pharmacy technician experience in an outpatient pharmacy setting
Experience with computers including proficiency in data entry, spreadsheet creation, data tables, workflow diagrams, flow sheets, letter writing, template creation, and report generation
Preferred qualifications for this position include:
Experience with insurance/data inquiry/transmitting systems
Experience using electronic medical records and pharmacy software
Knowledge of Intravenous access care, Intravenous flush protocols, Intravenous pumps, and Intravenous medication stability and concentrations
About the ministry you will serve.
Providence Infusion and Pharmacy Services in Spokane, Washington provides home and ambulatory infusion services to pediatric and adult patients in Washington, Idaho, Montana, and Oregon. Patient quality/safety, satisfaction, and positive clinical outcomes are top priorities. Our services include infusion therapy and enteral/parenteral nutrition services to patients in their homes or in our Ambulatory Infusion Suites (AIS), disease management, specialized infusion services, and clinical nurse, pharmacist, and dietitian consulting and support. Spokane is in the heart of the Inland Northwest, offering four seasons of winter snow, cool springs, warm summers, and mild fall temperatures. Outdoor recreational activities are numerous including fishing, hiking, biking, camping, skiing, hunting, golfing, and boating. Spokane is located about 30 miles from Idaho and is within a few hour drive of Seattle, Portland, Missoula, Canada, and the coasts of Washington and Oregon. Spokane is a vibrant community that is easy to navigate with short commute times and offers of a variety of sporting events, concerts, shopping, dining, and entertainment experiences.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing/Insurance
Req ID: 262448