Seattle, WA, 98194, USA
4 days ago
Pharmacy Billing/Medication Assistance Coordinator
**Job Description** The **UW Medical Center-Montlake Pharmacy Department** has an outstanding opportunity for a **Pharmacy Billing/Medication Assistance Coordinator** to join our **Outpatient Pharmacy Team** ! **WORK SCHEDULE** + Full-Time / 40-hours per week + Day Shift **POSITION HIGHLIGHTS** + Be responsible for the development, maintenance and enhancement of billing and reimbursement of outpatient medications and the patient medication assistance program (MAP) for both inpatient and ambulatory care at UW Medical Center - Montlake + Routinely make financial decisions to approve patient eligibility, continuing coverage for eligibility within the billing and reimbursement for outpatient medications + Provide information and education to providers, patients, pharmacy and other medical center staff + The position requires close interaction with UWMC pharmacists, management team members, Social Work, Finance, Billing and Compliance **PRIMARY JOB RESPONSIBILITIES** + Serve as primary resource to patients, pharmacy staff, medical center staff and providers as well as outside payers for issues regarding pharmacy billing, reimbursement and industry sponsored medication assistance programs. + Evaluate patient pharmacy benefits to ensure coverage of outpatient prescription medications. + Determine and coordinate patient eligibility for medication reimbursement programs or facilitate pharmacy benefit management with managed care and federal or state assistance prescription programs. + Determine patient eligibility for the MAP and work collaboratively with Patient Financial Services, Social Work and other medical center personnel to ensure clinical and financial documentation is complete for program enrollment. + For patients who are eligible for the MAP: manage the application process, reminders for reordering, eligibility verification, current drug list and current application forms. This includes reminders to patients to contact programs for refills, set up shipments on a monthly basis. Maintain all required patient documentation as required by individual programs. + Assume responsibility for the accountability, storage and distribution of the MAP inventory. Perform monthly audits to ensure all drug received is utilized appropriately and recorded accurately. **REQUIRED POSITION QUALIFICATIONS** State of Washington Pharmacy Technician License and a Bachelor's Degree. 2-3 years of experience with and knowledge of third-party insurance billing practices, federal and state regulations with regard to billing and reimbursement, internal billing structure and pharmacy billing procedures are required. Must be proficient in Word and Excel. Equivalent education/experience will substitute for all minimum qualification except when there are legal requirements, such as license/certification/registration. **LEGAL REQUIREMENT** State of Washington Pharmacy Technician certification **_CONDITION OF EMPLOYMENT_** **_UW Medicine is committed to being a drug-free workplace. We require a pre-employment drug screen._** **ABOUT UW MEDICAL CENTER-MONTLAKE** UW Medical Center is an acute care academic medical center located in Seattle with two campuses: Montlake and Northwest. As the No. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report) and nationally ranked in seven specialties, UW Medical Center prides itself on compassionate patient care as well as its pioneering medical advances. The UW Medical Center-Montlake campus is located on the edge of the beautiful UW campus which includes many amenities available to our staff as well as very convenient public transit options including the Sound Transit’s light rail station across the street. Excellence. Exploration. Education. **ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER** UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team. Join our mission to make life healthier for everyone in our community. **Compensation, Benefits and Position Details** **Pay Range Minimum:** $61,368.00 annual **Pay Range Maximum:** $102,000.00 annual **Other Compensation:** - **Benefits:** For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/ **Shift:** First Shift (United States of America) **Temporary or Regular?** This is a regular position **FTE (Full-Time Equivalent):** 100.00% **Union/Bargaining Unit:** Not Applicable **About the UW** Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. **Our Commitment** The University of Washington is proud to be an affirmative action and equal opportunity employer (https://hr.uw.edu/eoaa/) . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu . Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (https://app.leg.wa.gov/RCW/default.aspx?cite=28B.112.080) . University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
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