Specialty Pharmacy Tech: Prior Auth & Billing

FHLB Des Moines; Seattle (WA); On-site; USD 44,000 - 65,000; Part time

Job summary

UW Medical Center-Montlake Pharmacy is seeking a Pharmacy Technician 2 - Specialty Pharmacy for per diem day shifts in Seattle. You will support prior authorization tasks for ambulatory clinics, act as a liaison between clinic teams and pharmacy staff, and perform duties under supervision of a registered pharmacist.

Responsibilities include reviewing patient coverage, handling third-party billing, contacting health departments and caseworkers, and documenting prior authorization results in the

Qualifications

• Six (6) months of experience as a Pharmacy Technician 1 or equivalent education/experience
• State of Washington Pharmacy Technician certification

Responsibilities

• Review and screen new patients to determine if patient has adequate prescription coverage.
• Function as primary third party billing resource for ambulatory clinics.
• Contact Department of Health and caseworkers and patients with regard to missing documents for insurance plans.
• Troubleshoot and resolve billing rejections. Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate.
• Provide formulary assistance to clinics through evaluating necessity of prior authorization and identification of formulary alternatives.
• Contact payers for lost medication overrides, replacement and vacation override approvals.
• Identify patients who may qualify for patient medication assistance programs or copay assistance.
• Complete standard documentation of results of prior authorization requests and formulary evaluations in electronic medical record.
• Establish and maintain good working relationships with clinic and pharmacy staff to maintain effective communication regarding prior authorization issues.
• Perform the duties of a Pharmacy Technician I.

Education

Pharmacy Technician certification

Job description

UW Medical Center-Montlake Pharmacy is seeking a Pharmacy Technician 2 - Specialty Pharmacy for per diem day shifts in Seattle. You will support prior authorization tasks for ambulatory clinics, act as a liaison between clinic teams and pharmacy staff, and perform duties under supervision of a registered pharmacist.

Responsibilities include reviewing patient coverage, handling third-party billing, contacting health departments and caseworkers, and documenting prior authorization results in the