Pharmacy Technician III

Fred Hutchinson Cancer Center•Seattle, WA

14h•Hybrid

About The Position

The Pharmacy Prior Authorization Coordinator (Pharmacy Technician III) 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. This position will work with stakeholders inside and outside of the pharmacy department to complete crucial and complex tasks relating to patient care, financial and billing practices, or regulatory compliance. This is a full-time position with a schedule of Monday through Friday, 8:30am to 5:00pm PT. There is also potential for this role to be hybrid or fully remote, depending on business needs and team approval.

Requirements

High school diploma or equivalent
Current Washington state pharmacy technician certification.
2 years pharmacy technician experience
Proficient in Microsoft suite
Ability to communicate verbally in person, on the phone, and in writing in a clear, concise and professional manner
Ability to use a mouse, navigate computer programs, enter data into computer systems accurately and efficiently
Attention to detail and accuracy documentation of information
Ability to multitask and work efficiently in a dynamic work environment
Ability to work effectively as a member of a team
Experience with electronic medical records
Familiar with the generic names of drugs along with their basic indication
Able to perform basic pharmaceutical calculations
Review and correct discrepancies identified in daily, weekly and monthly billing reports
Ability to work in a fast paced and complex environment

Nice To Haves

Previous experience in pharmacy billing/prior authorization
Knowledge of CPT, ICD-10 and other medical terminology
Knowledge of the health care environment and electronic medical records
Attention to detail and accuracy documentation of information
Ability to multitask and work efficiently in a dynamic work environment
Ability to work effectively as a member of a team
Experience with electronic medical records

Responsibilities

Performs complex and unique duties within the pharmacy department
Interpret, evaluate, and summarize information and datasets of varying sizes
Communicate effectively and professionally with stakeholder inside and outside of pharmacy department
Develop and maintain internal (within Fred Hutch) and external relationships (such as vendors, payors, distributors)
Work independently and within teams to complete tasks
Documentation information or results in clear and concise ways
Generate and present reports of tasks to Pharmacy Operations Manager or Director of Pharmacy
Other duties as assigned
Determine benefit limits and secure insurance approvals for specialty infusion, oral chemotherapy 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
Completing and submitting prior authorization forms and patient assistance applications
Reprocessing denied or rejected third party claims
Train and educate staff on pharmacy billing functions
Participate in billing related meetings
Retail pharmacy reconciliation and reporting
Other pharmacy related duties in accordance with regulations under Washington State Pharmacy Quality Assurance Commission