[Hiring] Ambulatory Pharmacy Representative @PeaceHealth

Role Description

Supports the Ambulatory Pharmacy Department by coordinating the activities between scheduling, insurance verification, and pre-certification for pharmacy service visits. Coordinates efficient operation of the department by completing support activities as assigned.

• Pre-registers/registers patients with accurate patient demographic, financial data.
• Receives incoming phone calls related to all aspects of scheduling and coordination of patients and resources.
• Collects and evaluates patient demographic, insurance, clinical, and non-clinical information.
• Collects balances, co-payment, co-insurance, or other payment types over the phone.
• Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival.
• Responds to customer’s inquiries about ambulatory pharmacy services.
• Manages daily ambulatory pharmacy service appointment schedules.
• Identifies inaccuracies and missing data that would affect departments’ financial results; monitors cancellation and rescheduling of appointments to manage schedules, identifies potential resource conflicts and works with leadership to resolve them.
• Obtains required paperwork and/or electronic form for chart completion, ensures orders, history, and physical, and consents are complete.
• Performs other duties as assigned related to ambulatory pharmacy services.
• Performs other duties as assigned.

Qualifications

• High School Diploma Preferred
• Minimum of 1 year Required: Medical Office or related customer service experience
• Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook
• Preferred: Experience with ambulatory pharmacy services
• Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred)
• Must have the ability to work efficiently and responsibly in an environment with multiple demands, interruptions and time frames, with minimal supervision. (Required)
• Advanced problem-solving and critical thinking skills that demonstrate positive outcomes. (Required)
• Knowledge of insurance process and regulations. (Preferred)
• Must be able to manage conflict effectively and professionally. (Required)
• Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required)
• Good customer service skills and good interpersonal skills. (Required)

Requirements

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.
• Predominantly operates in an office environment.
• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

Benefits

• Full medical/dental/vision coverage
• 403b retirement plan employer base and matching contributions
• Paid time off
• Employer-paid life and disability insurance with additional buyup coverage options
• Tuition and continuing education reimbursement
• Wellness benefits
• Expanded EAP and mental health program