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PHARMACY TECHNICIAN 2 - PRIOR AUTHORIZATION CENTER (FULL-TIME/DAYS)

University of Washington
Seattle, WA Full-time
Posted on July 29, 2019
Req #: 167133
Department: UW MEDICAL CENTER PHARMACY
Job Location: UW Medical Center
Posting Date: 08/23/2019 
Closing Info: Open Until Filled 
Salary: $3,610.00 to $5,321.00 per month 
Union Position: Yes
Shift: First Shift 

Join our award-winning team at University of Washington Medical Center (UWMC). Among the top medical centers in the United States, and ranked as the number 1 hospital in Washington State, as rated by U.S. News & World Report 2018-2019 "America's Best Hospitals", UWMC prides itself on compassionate patient care as well as its pioneering medical advances. UWMC is operated by the University of Washington (UW) and serves as a training site for UW’s School of Medicine.

The University of Washington is proud to be one of the nation’s premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty. As an employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please view this page.

UWMC Pharmacy has an outstanding opportunity for a FULL-TIME PHARMACY TECHNICIAN 2 – PRIOR AUTHORIZATION CENTER (Day Shifts). The Pharmacy Technician 2 will perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC Ambulatory Clinics, and will act as a liaison between the clinic teams and the pharmacy staff to ensure effective communication regarding prior authorization issues.  All activities will be performed under the supervision of a registered pharmacist.

Responsibilities:
• Troubleshoot technical questions related to specialized area.  Serve as a resource to nursing, pharmacy and medical staff for policies and procedures. Facilitate maintaining positive rapport between pharmacy and clinic staff.
• Maintain all quality assurance documentation required for specialized duties.
• Review and screen new patients at intake to determine if patient has adequate prescription coverage. Refer appropriate patients to financial counseling for coverage or charity application.
• Function as primary third party billing resource for UWMC Ambulatory Clinics.
• Contact Department of Health and caseworkers and patients with regard to missing documents for insurance plans.
• Troubleshoot and resolve billing rejections. Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate.
• Provide insurance formulary assistance to UWMC clinics through evaluating necessity of prior authorization and identification of formulary alternatives.
• Contact payers for lost medication overrides, replacement and vacation override approvals.
• Identify patients who may qualify for patient medication assistance programs or copay assistance.
• Complete standard documentation of results of prior authorization requests and formulary evaluations in electronic medical record.
• Establish and maintain good working relationships with clinic and pharmacy staff to maintain effective communication regarding prior authorization issues.
• Educate pharmacy and clinic staff about prior authorization center policies and procedures as needed.
• Assist in the development, implementation, and evaluation of prior authorization center policy and procedures.
• Assure that policies and procedures are followed in coordination with the Billing Operations Specialists, Leads, Manager and Director.
• Generate reports at the request of the Manager or Director.
• Assure compliance with all pharmacy laws and regulations.
• Know and follow all Pharmacy department policies and procedures.
• Train pharmacy assistants, technicians, students and interns on specialized job duties as assigned.
• Perform the duties of a Pharmacy Technician I.
• Perform related duties as assigned.

Desired:
• A minimum of six months experience as a Pharmacy Technician I in a retail pharmacy setting or equivalent experience.
• High school education or GED certificate.
• Experience with contacting insurance companies.
• Excellent communication and organization skills. REQUIREMENTS:
  • Six (6) months of experience as a Pharmacy Technician 1 or equivalent education/experience.
  • LEGAL REQUIREMENT: State of Washington Pharmacy Technician certification.

CONDITION OF EMPLOYMENT:
UW Medicine is committed to being a drug-free workplace. We require a pre-employment drug screen. The use of marijuana for medical purposes accompanied by a prescription, even if permitted by state law, will not be considered acceptable for purposes of explaining a positive lab test result for marijuana.

Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

The University of Washington is a leader in environmental stewardship & sustainability, and committed to becoming climate neutral.

The University of Washington is an equal opportunity, affirmative action employer. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 / 206-543-6452 (tty) or dso@uw.edu.