Pharmacy Billing Coordinator

Overview

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

 

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality.

 

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. These values are grounded in and expressed through the principles of diversity, equity and inclusion. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an anti-racist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, anti-racism and inclusion.

 

The Pharmacy Billing Coordinator 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. The PBC will work on behalf of the patient to optimize access to all available funding sources, including patient and copay assistance programs.

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 FHCC) 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
• Determine benefit limits and secure insurance approvals for specialty 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
• Other duties as assigned

Qualifications

Required:

• High school diploma or equivalent
• Completion of an approved pharmacy technician training program
• Current Washington state pharmacy technician license
• 2 years pharmacy technician experience
• 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
• 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 perform basic pharmaceutical calculations
• Ability to use a mouse, navigate computer programs, enter data into computer systems accurately and efficiently

Preferred:

• Previous experience in pharmacy billing
• Knowledge of CPT, ICD-10 and other medical terminology
• 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 t