What are the responsibilities and job description for the Pharmacy Billing Coordinator position at Fred Hutchinson Cancer Research Center?
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.
If your skills, experience, and qualifications match those in this job overview, do not delay your application.
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 makes 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.
This role will have the opportunity to work partially at our campus and remotely.
Responsibilities
- 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.
- Complete and submit prior authorization forms and patient assistance applications.
- Reprocess 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.
- Participate in professional pharmacy organizations.
- Promote an image of service and goodwill to the patients, public, and hospital staff.
- Perform other related tasks as required.
Qualifications
Required :
Preferred :
A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists.
The hourly pay range for this position is from $39.56 to $59.34, which includes the per diem differential, and pay offered will be based on experience and qualifications.
Fred Hutchinson Cancer Center offers employees access to a retirement savings plan, an employee assistance program, and paid sick leave (1 hour for every 30 hours worked).
Our Commitment to Diversity
We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance and / or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.
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Salary : $40 - $59