Pharmacy Technician/ Billing Specialist

Title: Pharmacy Technician/ Billing Specialist

State Role Title: Pharmacy Technician/ Billing Specialist

Hiring Range: $29,622 - $50,000

Pay Band: 2

Agency: Dept of Veterans Services

Location: Davis & McDaniel Vet Care Ctr

Agency Website: www.dvs.virginia.gov

Recruitment Type: General Public - G

Job Duties

Acts as a courier between the Pharmacy and Nursing Units; delivering medications, supplies, devices and picking up orders. Fills medication orders/reorders for residents, and refills medication supplies from fill list which is audited by a Pharmacist for accuracy. Performs proper changes and credits for medications, supplies, and devices. Restocks, organizes, and inventories medications and supplies throughout the facility; ordered needed medications and supplies.

Enters medication orders and resident information to update the resident medication profile computer database. Performs proper charges/credits for medications, supplies and devices. Completes and submits end of month billing to all payor sources. Communicates/interacts with responsible parties and payors to setup accounts, explain billing and facilitate payments. Compiles reports as requested by the Pharmacy Manager. Resolves problems with QS/1 billing software. Advises the Pharmacy Manager of billing problems/issues.

Reviews pharmacy billing transactions daily. Identifies & corrects rejected claims daily. Requests prior authorization (PA) from insurance company by filling out the appropriate forms. Performs Medicare D plan(s) cost comparison for current and/or new residents. Assists residents/ family members/ POAs in signing up for Medicare D plan. Keeps informed of insurance formularies as related to billing. Admits/discharges residents in QS/1 system. Performs accurate monthly pharmacy billing by:
a. Review Med A report
b. Review Med A Replacement report
c. Review Account Trial Balance
d. Review Non Covered Medicaid report
e. Review DMVCC report
f. Review 70% Service Connected
g. VA Hospital
h. Hospice
i. Prints billing statements
j. Age & compress old files
k. Zero out previous month’s accounts
l. Creates & sends billing transactions
m. Prints Rx reject resolution report
n. Corrects rejected claims from the sent transactions

Prepares and packages medications within appropriate time and quality standards.

Places orders with wholesalers and manufacturers; processes items received to assure correct product, quantity, price, proper storage, and checks expiration dates; prepares invoices for payment; returns all recalled, out of date, or overstocked medications to wholesaler or manufacturer. Maintains up-to-date records of medications and supplies borrowed or loaned.

Follows safety rules and regulations. Initiates and recommends appropriate corrective actions necessary when violates are seen. Maintains clean and safe environments ensuring orderly work areas throughout the department are maintained.

Reviews, sorts, and files materials (including confidential information); maintains departmental records, files, notebooks, and references; handles departmental mail and correspondence; greets visitors and receives incoming calls, screening them and making appropriate referrals to staff or departments. Performs other duties as may be assigned that are within the Pharmacy Department’s mission or warrant meeting the overall needs of the center. Attends committee meetings as assigned. Complies with all aspects of laws, regulations, policies and procedures.

May be required to assist the agency or state government generally in the event of an emergency declaration by the Governor.

Minimum Qualifications

Knowledge of the information and techniques related to pharmaceutical operations and dispensing medicines. Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. The ability to read and understand information and ideas presented in writing. The ability to communicate information and ideas in speaking so others will understand and to comprehend information presented by others.

High School Diploma or equivalent. A Pharmacy Technician Certification is required. Active licensure is a condition of employment. Must meet all requirements for maintaining license. Experience in long term care or adult geriatric setting is preferred. Some pharmacy experience is also preferred.

Additional Considerations

You will receive a confirmation of receipt when your application is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.

The Commonwealth does not provide sponsorship; therefore, applicants must be a citizen or national of the U.S., a Lawful Permanent Resident, or an alien authorized to work.

Excluding current DVS employees, the selected candidate MUST pass a criminal background check. and pre-employment drug screening and two TB Skin Tests are required.

Salaries for current state employees will be determined according to the current state compensation plan.

For consideration for this position, candidates MUST apply online at www.jobs.virginia.gov. Applicants are encouraged to be specific regarding job related knowledge, skills, and abilities. Resumes are encouraged but do not substitute submittal of the online application. Applications submitted via postal mail, email, or fax will not be considered. Please contact us if you need assistance.

In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their certificate of Disability (COD) provided by a Certified Rehabilitation Counselor within the Department of Aging & Rehabilitative Services (DARS). Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable from DARS.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

In order to be considered for this position please apply at jobs.virginia.gov

Contact Information

Name: Kristen Johnson

Phone: (540) 982 -2860 Ext 4903

Email: kristen.johnson@dvs.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.