Infusion Pharmacy Access Specialist

Providence; Portland (OR); On-site; USD 48,000 - 64,000; Full time

Job summary

Providence Home Services Oregon is seeking a Pharmacy Technician Access Services Representative to manage insurance benefit validation and authorizations for infusion and home/infusion services. You will process referrals, obtain documentation, confer with pharmacists and nurses, and ensure accurate eligibility checks and financial discussions with patients.

The role requires Oregon licensure/certification, 2+ years in insurance verification or specialty pharmacy settings, and strong data-entry

Qualifications

• Oregon Pharmacy Technician license or Oregon Certified Pharmacy Technician.
• 2 years experience with insurance verification, medical claims processing, insurance member enrollment or customer service.
• 2 years experience as a pharmacy technician in a specialty setting (e.g. Long Term Care, Infusion or Specialty Pharmacy), or 3 years pharmacy technician experience in an outpatient pharmacy setting.
• 2 years experience with computers in data entry.

Responsibilities

• Process all new referrals for Providence Infusion and Pharmacy Services Home and Infusion Suite services.
• Obtain the order and other required documentation, conferencing with the referral source, the Pharmacist, Infusion Nurse Coordinator and other stakeholders.
• Verify insurance eligibility and benefits; cost of medication; obtain pre-authorizations and re-authorizations; assist patients with copay and financial assistance.
• Perform monthly re-verification of insurance eligibility of active patients on service.
• Update patient profiles and retrieve new authorizations; complete financial cost disclosure for ordered therapies and discuss patient obligation before start of care.

Skills

Insurance verification

Medical claims processing

Insurance member enrollment

Customer service

Data entry

EMR software

Job description

Providence Home Services Oregon is seeking a Pharmacy Technician Access Services Representative to manage insurance benefit validation and authorizations for infusion and home/infusion services. You will process referrals, obtain documentation, confer with pharmacists and nurses, and ensure accurate eligibility checks and financial discussions with patients.

The role requires Oregon licensure/certification, 2+ years in insurance verification or specialty pharmacy settings, and strong data-entry