Providence Health & Services Pharmacy Technician - Access Services Representative in Portland, Oregon
Providence is calling a Home Services Specialty Pharmacy Services Representative to Providence Home Services in Portland, OR.
In this position, you will:
Be responsible for processing all new referrals for Specialty Pharmacy Services (SPS) three lines of business. These lines of business include Infusion Pharmacy; Specialty Products Pharmacy (SPP) and Long Term Care (LTC) pharmacy.
Obtain the order and other required documentation, conferencing with the referral source, the SPS Pharmacist and SPS Infusion Nurse Coordinator; and verifying insurance eligibility/benefits; financial obligation (out of pocket or co-pays) and obtain necessary pre-authorizations and re-authorizations.
Be responsible for monthly re-verification of eligibility of active patients on service.
Work closely with the SPS pharmacist and nursing staff regarding all therapy changes and additions in order to keep the patient's profile updated and retrieve new authorizations.
Be responsible for completing any durable medical equipment (DME) Information Form (DIF) needed for Medicare or Secondary payers.
Complete the financial cost disclosure and any other required documents necessary (e.g., Advance Beneficiary Notice) for each ordered therapy and discuss patient's financial obligation before start of therapy.
Required qualifications for this position include:
Current Oregon Board of Pharmacy Technician registration
2-3 years of experience with insurance verification, medical claims processing, insurance member enrollment or customer service
2-3 years of experience with computers in data entry/inquiry
Experience using electronic medical records software
In compliance with the Providence Health & Services-Oregon (OR) Human Resources policy #302 “Background Checks”, a criminal background check is required for this position, based on assigned duties.
Preferred qualifications for this position include:
2-3 years of specialty or infusion pharmacy experience
Experience with insurance/data inquiry systems
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 76,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 475 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Pharmacy & Pharmacy Support
Req ID: 141032