Pharmacy Billing Coordinator - NW Hospital

Overview: The Seattle Cancer Care Alliance (SCCA), located in Seattle, Washington, is part of a dynamic collaboration among three organizations known nationally and internationally for their patient care and research: Fred Hutchinson Cancer Research Center, University of Washington, and Seattle Children's. Over the past 25 years, these institutions have worked together to support their mission of adult and pediatric oncology patient care services, research and education.
Working under the immediate supervision of a pharmacist, the Pharmacy Billing Coordinator (PBC) ensures that all authorizations/certifications for drug therapy are completed in accordance with payer criteria and policy, in a timely manner, and prior to therapy initiation. The PBC will work on behalf of the patient to optimize access to all available funding sources, including patient and copay assistance programs.Responsibilities:

• Determine benefit limits and secure insurance approvals for specialty and high cost medications
• Work closely with care team to communicate any coverage issues
• Evaluate patterns in denied claims taking corrective action and educating staff as needed
• Liaison with Patient Financial Services
• Serve as a resource to patients and staff regarding insurance and drug coverage questions
• Provide patient assistance program information and education to providers, patients and medical center staff

Qualifications: Required:

• High School diploma or equivalent
• Completion of Pharmacy Technician Program
• WA state Pharmacy Technician Certification
• Ability to communicate verbally in person, on the phone, and in writing in a clear, concise and professional manner
• Familiar with the generic names of drugs along with their basic indication
• Able to perform basic pharmaceutical calculations
• Ability to use a mouse, navigate computer programs, enter data into computer systems in accurately and efficiently
• Completing and submitting prior authorization forms and patient assistance applications
• Reprocessing denied or rejected third party claims
• Review and correct discrepancies identified in daily, weekly and monthly billing reports
• Ability to work in a fast paced and complex environment

Preferred:

• Knowledge of CPT, ICD-10 and other medical terminology
• Experience with Electronic Medical Records

Our Commitment to Diversity: We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to our Employee Services Center at hrops@fredhutch.org or by calling 206-667-4700.