This position is responsible for front-end reimbursement duties, providing phone and clerical support to the clinical component of home infusion. Other responsibilities include entering patient referral data into the database, entering physician information into the database, entering outcomes information into the database, and tracking CIIs and patient satisfaction surveys
*Oregon Pharmacy Technician License upon hire OR Oregon Certified Oregon Pharmacy Technician upon hire.
*2+ year of experience with data entry
*2 years of experience with insurance verification, medical claims processing, insurance member enrollment or customer service.
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Pharmacy Technician Access Services Representative to provide insurance benefit validation and obtain authorizations for home and ambulatory infusion therapy. The successful candidate will be responsible for processing all new referrals for Providence Infusion and Pharmacy Services Home and Infusion Suite services. This work includes obtaining the order and other required documentation, conferencing with the referral source, the Pharmacist, Infusion Nurse Coordinator and other key stakeholders; and verifying insurance eligibility and benefits; cost of medication, obtaining pre-authorizations and re-authorizations and assisting patients with copay and financial assistance. This position is also responsible for monthly re-verification of insurance eligibility of active patients on service. The admission team member works closely with the Pharmacy and Nursing team regarding all therapy changes and additions keeping patients' profile updated and retrieving new authorizations. The access services team completes financial cost disclosure and other required documents for each ordered therapy and discuss patient's financial obligation before start of care.
In compliance with the Providence Health and Services-OR Human Resources policy #302 Background Checks, a criminal background check is required for this position upon hire, based on assigned duties.
2 years experience as a pharmacy technician in a specialty setting (e.g. Long Term Care, Infusion or Specialty Pharmacy)
OR
3 years pharmacy technician experience in an outpatient pharmacy setting.
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.