Research - Laboratory/Non-Laboratory, Staff/Administrative
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.
TheUW Medical Center - Montlake - 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.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.