Acute Charge Audit Pharmacy Technician

bannerhealth; Mesa (AZ); On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

Hire-on incentive up to $2,500

Weekend shift differential $1/hour

Night shift differential 18%

Job summary

Banner Health is hiring for a Pharmacy Billing and Reconciliation role at Banner Baywood Medical Center in Mesa, AZ. The position supports inpatient and outpatient medication billing, ensuring accuracy and timely processing.

The role includes reviewing accounts for discrepancies, assisting with audits, and providing administrative support to the department. Work hours are 6:30 a.m. to 3:00 p.m., Monday through Friday, with incentive and shift differentials as noted by recruitment.

Qualifications

• Experience billing and reconciliation of patient charges in a hospital setting.
• Familiar with reviewing medication charges and using the CDM.
• Ability to document and follow regulatory standards and processes.

Responsibilities

• Review patient records and charges to validate medication billing.
• Resolve billing questions related to medications with hospital staff.
• Audit daily error reports and correct issues in the medication billing system.
• Input and verify patient charges in billing systems for formulary and non-formulary items.
• Analyze financial reports for the pharmacy department and present findings to management.
• Provide clerical support including scheduling, filing, and coordinating department activities.

Tools

CDM system

Job description

Primary City/State: Mesa, Arizona

Department Name: Pharmacy-Hosp

Work Shift: Day

Job Category: Pharmacy

Pharmacy careers are better at Banner Health! Innovation and highly trained staff. Our Pharmacy team members play a critical role in ensuring the best care for our patients . Join a nationally recognized leader that values excellence and begin making a difference in people's lives.

This role supports pharmacy billing and reconciliation activities for inpatient and outpatient medication charges , ensuring accuracy and timely completion of billing processes. Responsibilities include r eviewing patient accounts to identify and resolve billing discrepancies, assisting with charge audits, maintaining billing records, and providing administrative support to the department through scheduling, filing, coordination of activities, and customer service.

This position is scheduled for Monday through Friday , working eight-hour day shifts from 6:30 a.m. to 3:00 p.m. Hire On Incentive up to $2,500 available. Recruiter to provide these details during the interview process. Enjoy a flat rate $1/hour weekend shift differential and an 18%-night shift differential when applicable.

Banner Baywood Medical Center is a 342 bed hospital serving the health care needs of the dynamic and growing East Valley communities of metropolitan Phoenix, Arizona. We provide complete acute care services and outpatient services to include but not limited to cancer, stroke, women's health, rehabilitation, emergency medicine and surgery. Our Emergency Department treats a variety of ailments and offers advanced treatment areas, with 68 beds, seeing over 50,000 patients per year. We are certified as pediatric prepared as well as designated as a Trauma level 3 emergency room. In addition, our comprehensive orthopedic unit is one of the nation's premier orthopedic programs. The unit's commitment to excellent patient care has earned a 4 STAR rating by CMS and repeated recognition as having one of the Top 100 Orthopedic Programs in the U.S. by The Health Network and HCIA, Inc. Because we are also a leader in neurological medicine, people throughout Arizona come to us when they need treatment for conditions of the brain, spine and nervous system.

POSITION SUMMARY

This position is responsible for billing and reconciliation of patient charges for medications and IV solutions for inpatients and outpatients. This includes meeting established deadlines for completion of all phases of billing and reconciliation. Reviews patient charts to identify and correct billing issues associated with high cost single charges or high cost total patient charges. Uses the company's Charge Description Master (CDM) to review billings and charges associated with medications for internal billing auditors. Routinely interacts with a variety of hospital departments. Serves as clerical and administrative resource for the department with duties that may include reception, scheduling, filing, and coordination of department activities.

CORE FUNCTIONS

• Reviews patient records, dedicated reports, and physician/provider notes to obtain information about medication usage. Uses a standard listing of charge codes and/or an automated system to validate medication charges. Documents according to standards set by the department and regulatory agencies.
• Serves as a resource to hospital personnel and pharmacy staff in resolving billing questions related to medications. Acts as a resource in regard to appropriate billable units for medications for pharmacy personnel or internal auditors. Uses prior experience, diversified procedures and general instructions and procedures to solve a variety of problems.
• Monitors and evaluates system reports to prevent erroneous billing practices. Audits daily error reports in the medication billing system and makes corrections when issues are identified. Matches, corrects, and codes charges that do not transmit to the billing system. Identifies and resolves problems with the medication billing system, as well as assists in the development and implementation of programs to improve and enhance service quality.
• Verifies and inputs patient charges into the applicable billing systems. Processes charges for non-formulary medications, EMS replenishment, specialty area charges that are not already automated, and patient assistance billing. This may involve compiling data from multiple sources into meaningful information and then transferring that into the appropriate systems.
• Analyzes financial reports generated by the technology systems for the pharmacy department. Presents reports to management and assists with the resolution of issues identified.
• Provides clerical and administrative support to department leadership and staff as requested. This may include recording and distributing meeting minutes, project involvement, scheduling meetings and interviews, greeting and screening department visitors, answering phone calls, and other simila