Ambulatory Pharmacy Representative

PeaceHealth • Longview, WA

5d

About The Position

The Ambulatory Pharmacy Representative supports the Ambulatory Pharmacy Department by coordinating scheduling, insurance verification, and pre-certification for pharmacy service visits. The role helps ensure efficient department operations by completing assigned support activities, assisting patients and customers, and coordinating schedules, resources, and required documentation.

Requirements

• High school diploma preferred.
• At least 1 year of medical office or related customer service experience required.
• Ability to work efficiently and responsibly amid multiple demands, interruptions, and time frames, with minimal supervision.
• Advanced problem-solving and critical-thinking skills that demonstrate positive outcomes.
• Ability to manage conflict effectively and professionally.
• Excellent time-management skills, with an emphasis on meeting time-sensitive deadlines.
• Good customer service and interpersonal skills.

Nice To Haves

• Experience with Microsoft Office applications, including Word, Excel, and Outlook.
• Experience with ambulatory pharmacy services.
• Demonstrated knowledge of medical terminology and CPT/ICD-10 coding.
• Knowledge of insurance processes and regulations.

Responsibilities

• Pre-register and register patients, ensuring demographic and financial information is accurate.
• Receive incoming calls concerning patient scheduling and coordination of patients and resources.
• Collect and evaluate patient demographic, insurance, clinical, and non-clinical information.
• Collect balances, co-payments, co-insurance, and other payments over the phone.
• Verify insurance coverage, meet insurance requirements, and obtain prior authorizations or referrals before patient arrival as appropriate.
• Respond to customer inquiries about ambulatory pharmacy services.
• Manage daily ambulatory pharmacy service appointment schedules.
• Identify inaccurate or missing data that may affect department financial results.
• Monitor appointment cancellations and rescheduling, identify potential resource conflicts, and work with leadership to resolve them.
• Obtain required paperwork or electronic forms for chart completion and ensure orders, history and physical documentation, and consents are complete.
• Perform other duties as assigned related to ambulatory pharmacy services.

Benefits

• For positions below 0.5 FTE: 403(b) retirement plan for caregiver contributions, wellness benefits, discount program, and expanded EAP and mental health program.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED