Associate Pharmacy Business Coordinator

4 weeks ago


Morgantown, United States West Virginia University Hospitals, Inc. Full time

Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position is responsible for conducting payer in-house financial audits, payer performance compliance, and auditing 3rd party payer compliance. They must maintain knowledge of revenue cycle operations, third party reimbursement procedures & regulations, payer relations, claims adjudication, contractual claims processing, medical terminology, and an understanding of the 340B Drug Discount Program. Knowledge will include at minimum, some aspects of payer relations and general reimbursement procedures. Provides customer support and resolves problems that may arise because of customer inquiries. Supports the work of the department by completing reports and performing clerical duties as needed. Responsible for performing pharmacy related functions in compliance with departmental policies and procedures that provide optimal pharmaceutical care. Additionally, the Associate Pharmacy Business Coordinator may be responsible for securing registration data based upon comprehensive data elements, financial education/counseling and third-party claims management. Interviews patient and arranges alternate methods of payment. Ability to calculate patient co- payments and deductibles based upon benefits processing. MINIMUM QUALIFICATIONS: EDUCATION, EXPERIENCE, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent and obtain Nationally Certified Pharmacy Technician (PTCB or EXPT) within first 12 months of hire AND one (1) year of healthcare related experience OR Associate's Degree in Business, Finance, Healthcare, or related field PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. PTCB Advanced Pharmacy Technician Certificate. EXPERIENCE: 1. One(1)yearsworkinginaspecialtypharmacy. CORE DUTIES AND RESPONSIBILITIES:The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Drafts various correspondence letters and sends to referral source when necessary. 2. Gathers and documents demographics, insurance information, needs assessment, and other data as needed. 3. Provides information and answers to patient/caregiver questions and refers to clinician when appropriate or requested. 4. Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department. 5. Enters pre-registration using the comprehensive data elements into the... For full info follow application link. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please view Equal Employment Opportunity Posters provided by OFCCP here. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)



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