Pharmacy Technician - Infusion

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

This is an onsite position working at our Halsey Building location (Northeast Portland).

Schedule: Monday-Friday day shift

We are seeking a Pharmacy Technician Access Services Representative to provide insurance benefit validation and obtain authorizations for home and ambulatory infusion therapy. The successful candidate will be responsible for processing all new referrals for Providence Infusion and Pharmacy Services Home and Infusion Suite services. This work includes obtaining the order and other required documentation, conferencing with the referral source, the Pharmacist, Infusion Nurse Coordinator and other key stakeholders; and verifying insurance eligibility and benefits; cost of medication, obtaining pre-authorizations and re-authorizations and assisting patients with copay and financial assistance. This position is also responsible for monthly re-verification of insurance eligibility of active patients on service. The admission team member works closely with the Pharmacy and Nursing team regarding all therapy changes and additions keeping patients' profile updated and retrieving new authorizations. The access services team completes financial cost disclosure and other required documents for each ordered therapy and discuss patient's financial obligation before start of care.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Home Services Oregon and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• Upon hire: 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.

Preferred Qualifications:

• Experience using electronic medical records software.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.