Intake and Billing Coordinator - Pharm Tech

Requirements

• License /Certification
• Required: Pharmacy Technician registration with the California State Board of Pharmacy
• Education
• Required: High school diploma or equivalent
• Department Specific Requirements
• JOB RESPONSIBILITIES
• Essential
• Coordinates initial and ongoing services with prescriber, pharmacy services, nursing services and patients.
• Promotes services with prescribers, customers, and other departments, demonstrating a strong customer service orientation and a continuous positive image for Kaweah Health.
• Validates insurance and obtains insurance authorization when required initially and ongoing.
• Coordinates and provides documents and information to Patient Accounting services for billing and authorizations and serves as a resource to Finance and Patient Accounting division.
• Demonstrates and maintains knowledge of medications, insurance criteria for coverage for specified therapies, specific billing codes for each therapy, and expected payment for specific therapies administered.
• Works to resolve operational issues/concerns relating to prior authorization requests, insurance compliance issues; triages issues to appropriate personnel and department management, as appropriate.
• Understands and coordinates directly with pharmacy department to ensure adherence to 340B regulations. Verifies medication and administration charges daily ensuring all charges are accurate and appropriate.
• Establishes and maintains patient charts, documentation, logs and files. Inputs information into computer, generate and use reports to ensure smooth workflow.
• Maintains detailed and comprehensive knowledge of all insurance contracts.
• Coordinates and performs auditing for billing compliance and optimization of reimbursement. Brings any reimbursement or compliance concerns to the attention of the Manager.
• Answers telephone, takes messages as required, and refers technical/clinical problems to the clinical staff or Manager as appropriate or required by law.
• Conforms to patient confidentiality standards.
• Ensures financial feasibility of providing therapies at the time of authorization.
• Addendum (essential for specific dept)
• IF ASSIGNED TO HOME INFUSION PHARMACY ALSO RESPONSIBLE FOR:

Benefits

Additional Information

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do - in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7231 Infusion Center The purpose of this position is to provide oversight of outpatient pharmacy infusion services. The Infusion Coordinator will act as the liaison to other hospital departments and external clients in the processes of referral management and service promotion.

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