Job ID: 160053
Work Type: FT
Location: Philadelphia, PA, United States
Date Posted: Dec 5, 2022
Work Schedule: Day Shift
DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Pharmacy - (Retail)
Obtain pre-certification and referrals for inpatient and same day encounters. Verification of benefits and pre-certify selected outpatient registrations. Provide specialized support in the areas of insurance and billing information. Support the representatives solving problems and answering questions. This position will ensure access to integrated health care; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.
High school diploma required. • A certified pharmacy technician with 3-5 year s experience in a community-based retail or hospital outpatient pharmacy environment or a financial coordinator. Additional experience in obtaining pre-certification in the community retail setting is preferred. • Demonstrated proficiency and process knowledge of outpatient prescription program payer/PBM billing, issue resolution, and payment processes—including Prior Authorization and Claim Exception Facilitation • Understanding and process knowledge of Medicare Part B billing in a retail pharmacy setting (e.g. Part B vs. Part D drug billing). • Demonstrated computer literacy-including Word/Excel capabilities • Available to work rotating and flexible schedules • Excellent verbal and written skills • Maintains professional appearance • Strong organizational, record-keeping, and time management skills are essential • Consistently demonstrates a high degree of customer service skills.
When applying to this position, please upload your current pharmacy technician certification
We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.