Ambulatory Pharmacy Services Coordinator

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

Job summary

PeaceHealth is seeking an Ambulatory Pharmacy Representative for a full-time, 1.00 FTE, day position in Washington state. The role supports scheduling, insurance verification, and pre-certification for ambulatory pharmacy visits, ensuring efficient departmental operations.

The position requires a minimum of 1 year in medical office or related customer service experience, with knowledge of insurance processes and CPT/ICD-10 coding preferred.

Qualifications

• High School Diploma preferred.
• Minimum of 1 year medical office or related customer service experience.
• Experience with Microsoft Office applications (Word, Excel and Outlook) preferred.
• Experience with ambulatory pharmacy services preferred.
• Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding (Preferred).
• Ability to work efficiently and responsibly 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).

Responsibilities

• Pre-registers/registers patients with accurate patient demographic, financial data.
• Receives incoming phone calls related to 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 department’s financial results; monitors cancellations 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.

Skills

Customer service

Communication

Time management

Problem solving

Insurance knowledge

Education

High School Diploma

Tools

Microsoft Office

Outlook

Word

Excel

Job description

PeaceHealth is seeking an Ambulatory Pharmacy Representative for a full-time, 1.00 FTE, day position in Washington state. The role supports scheduling, insurance verification, and pre-certification for ambulatory pharmacy visits, ensuring efficient departmental operations.

The position requires a minimum of 1 year in medical office or related customer service experience, with knowledge of insurance processes and CPT/ICD-10 coding preferred.