Infusion Pharmacy Access & Benefits Specialist

Providence Health Plan Group; Portland (OR); On-site; USD 33,000 - 50,000; Full time

Job summary

Providence is seeking a Pharmacy Technician Access Services Representative for our onsite Halsey Building location in Northeast Portland. You will perform insurance benefit validation and obtain authorizations for home and ambulatory infusion therapy, coordinating with pharmacists and nurses to ensure accurate patient profiles.

Responsibilities include processing referrals, confirming eligibility, estimating costs, and guiding patients through copay and financial assistance.

Qualifications

• Oregon Pharmacy Technician License OR Oregon Certified Pharmacy Technician at hire.
• 2 years experience with insurance verification, medical claims processing, or customer service.
• 2 years experience as a pharmacy technician in a specialty setting (e.g., Infusion) or 3 years in outpatient pharmacy.
• 2 years experience with computers in data entry.
• Preferred: experience using electronic medical records software.

Responsibilities

• Process insurance benefit validation and obtain authorizations for home and ambulatory infusion therapy.
• Manage referrals for Providence Infusion and Pharmacy Services Home and Infusion Suite.
• Verify insurance eligibility and benefits, cost of medication, and obtain pre-authorizations.
• Assist patients with copay and financial assistance; re-verification of active patients’ eligibility monthly.
• Discuss financial obligations and complete required documents prior to start of care.

Skills

Insurance verification

Medical claims processing

Customer service

Data entry

Education

Oregon Pharmacy Technician License

Oregon Certified Pharmacy Technician

Tools

Electronic medical records software

Job description

Providence is seeking a Pharmacy Technician Access Services Representative for our onsite Halsey Building location in Northeast Portland. You will perform insurance benefit validation and obtain authorizations for home and ambulatory infusion therapy, coordinating with pharmacists and nurses to ensure accurate patient profiles.

Responsibilities include processing referrals, confirming eligibility, estimating costs, and guiding patients through copay and financial assistance.