Ambulatory Pharmacy Representative
PeaceHealth
**Description**
PeaceHealth is seeking a **Ambulatory Pharmacy Representative for a Per Diem/Relief, 0.000001 FTE, Day position.**
The salary range for this job opening at PeaceHealth is $21.07 - $31.59.
The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
**Job Summary**
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.
**Details of the Position**
+ 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.
**What You Bring**
+ High School Diploma Preferred.
+ Minimum of 1-year Medical Office or related customer service experience (Required) and
+ Experience with Microsoft Office applications, including Word, Excel and Outlook (Preferred) and
+ Experience with ambulatory pharmacy services (Preferred)
**Skills**
+ Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred)
+ Must have the ability to work efficiently and responsibility 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)
**Working Conditions**
+ 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.
PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) .
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
REQNUMBER: 99098
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