Ambulatory Pharmacy Representative

PeaceHealth; Bellingham (WA); On-site; USD 30,000 - 45,000; Part time

Job summary

PeaceHealth in Washington state seeks an Ambulatory Pharmacy Representative for a Per Diem/Relief, Day shift. Hours are 0715–1545; clinic is open M–F, 0730–1630. No weekends or nights.

This role coordinates scheduling, insurance verification, and pre-certification for pharmacy visits, supporting efficient department operations and patient flow. Strong multitasking and data accuracy are essential.

Qualifications

• High School Diploma preferred.
• Minimum of 1 year in Medical Office or related customer service.
• Experience with ambulatory pharmacy services is preferred.
• Proficient with Microsoft Word, Excel and Outlook is a plus.

Responsibilities

• Pre-registers/registers patients with accurate demographic and financial data.
• Receives calls related to scheduling and coordination of patients and resources.
• Collects and evaluates patient demographic, insurance, and clinical information.
• Verifies coverage and obtains prior authorizations/referrals as needed before patient arrival.
• Responds to inquiries about ambulatory pharmacy services.
• Manages daily ambulatory pharmacy service appointment schedules.

Skills

Medical Terminology

CPT/ICD-10 coding

Customer service

Time management

Education

High School Diploma

Tools

Microsoft Office

Job description

Job Description

PeaceHealth is seeking a Ambulatory Pharmacy Representative for a Per Diem/Relief, Day position. Anticipated schedule: Hours are 0715 – 1545. Day will vary depending upon needs of clinic. Clinic is open M – F, 0730 – 1630. No weekends or nights.

The salary range for this job opening at PeaceHealth is $21.59 – $32.39. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Job Summary

Supports the Ambulatory Pharmacy Department by coordinating the activities between scheduling, insurance verification, and pre-certification for pharmacy service visits. Coordinates efficient operation of the department by completing support activities as assigned.

Essential Functions

• Pre-registers/registers patients with accurate patient demographic, financial data.
• Receives incoming phone calls related to all aspects of scheduling and coordination of patients and resources.
• Collects and evaluates patient demographic, insurance, clinical, and non-clinical information.
• Collects balances, co-payment, co-insurance, or other payment types over the phone.
• Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival.
• Responds to customer's inquiries about ambulatory pharmacy services.
• Manages daily ambulatory pharmacy service appointment schedules.
• Identifies inaccuracies and missing data that would affect departments' financial results; monitors cancellation and rescheduling of appointments to manage schedules, identifies potential resource conflicts and works with leadership to resolve them.
• Obtains required paperwork and/or electronic form for chart completion, ensures orders, history, and physical, and consents are complete.
• Performs other duties as assigned related to ambulatory pharmacy services.
• Performs other duties as assigned.

Qualifications

• High School Diploma Preferred:
• Minimum of 1 year Required: Medical Office or related customer service experience and
• Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook and
• Preferred: Experience with ambulatory pharmacy services.

Skills

• Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred)
• Must have the ability to work efficiently and responsibility in an environment with multiple demands, interruptions and time frames, with minimal supervision. (Required)
• Advanced problem-solving and critical thinking skills that demonstrate positive outcomes. (Required)
• Knowledge of insurance process and regulations. (Preferred)
• Must be able to manage conflict effectively and professionally. (Required)
• Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required)
• Good customer service skills and good interpersonal skills. (Required)

Working Conditions

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.
• Predominantly operates in an office environment.
• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.

EEO Affative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.