What are the responsibilities and job description for the Pharmacy Technician III Billing Specialist position at the Chickasaw Nation?
We are currently looking for a Full Time Pharmacy Technician III Billing Specialist to join our Pharmacy Business Office team located at the Chickasaw Nation Medical Center 8 a.m. to 5 p.m.
Summary:
This position is located within the Chickasaw Nation Department of Health with the duty station at the Chickasaw Nation Medical Center. The purpose of this position is to provide and ensure optimal electronic billing services and to provide Pharmacy support services to Native American beneficiaries. This position's primary focus is the maintenance of pharmacy billing but may include technician duties when time allows. Pharmacy personnel must maintain high attention to detail as incorrect medication dispensing can cause injury/death.
Responsibilities:
- Manages and orders office inventory, equipment, uniforms and/or other operational supplies
- Develops and maintains documentation as appropriate - files, logs, records, reports, etc.
- Answers the phone, transfers call, takes messages and screens calls per guidelines for areas served
- May input all CII orders from hard copy and fill them with double check from a pharmacist
- Participates in performance improvement activities to measure, assess and improve the quality of assigned work area
- Maintains confidentiality, security, and integrity of data and information in accordance with HIPAA regulations
- Assists the pharmacist with filling and labeling of prescriptions and communicates with prescribers and their agents to obtain refill authorizations
- Checks for out-of-date drugs, puts orders away, and prepackages medications in accordance with Pharmacy policies
- Performs a variety of clinical and technical assignments to include typing letters, memoranda reports and other material
- Places material into final form unless otherwise instructed
- Assists patients in obtaining information on Pharmacy services, medication refills, etc. as per Pharmacy policies education. Will need to be proficient using the pharmacy system to Not only fill refills but also the POS system for dispensing to patients
- Responds to third party requirements on post-payment reviews, exclusions, denials, and appeals
- Communicates with claims processing personnel and facility staff to identify problems with applications and operating systems
- Compiles and types letters of correspondence to third party agencies regarding insurance claims and keeps the pharmacy manager informed
- Searches and retrieves individual patient health care records to gather and compile information for outpatient services
- Maintains Medicaid, Medicare, and private/commercial insurance manuals and directives and also maintains provider reimbursement manuals
- Compiles financial charts
- Verifies eligibility to third party payers
- Analyzes and maintains the electronic portion of pharmacy billing operations for third party programs and acts as an advocate for the health system in the collection of alternate resources
- Compounds simple oral solutions, ointments, and creams that doesn’t require a house control number
- May type in hard copy prescriptions
- Performs the prescription review, determines refill status, and patient follow-up dates and prescription quantities in coordination with pharmacist for clarification
- Assists with the control inventory of medications, equipment, and devices according to established policies and procedures
- May assist in placing order from prime vendor and/or hard to find companies
- May assist in medication reconciliation
- Assists with orientation, special activities and training on specific procedures, tasks or equipment
- Provides first class customer service to both internal and external customers and responds to inquiries, compliments, and/or complaints with professionalism, courtesy, and efficiency
- Completes all training and development requirements and participates in continuing education opportunities
- Works in a collaborative and supportive manner to support the productivity and safety of the work area, team members and customers of all types
- Maintains a clean, organized work area and ensures a safe environment
- Maintains and promotes professionalism
- Punctual and consistent in meeting start time, work schedule, attendance and other assigned work time metrics
- Adheres to Chickasaw Nation dress code standards
- Maintains knowledge of and follows all rules, regulations, policies and guidelines for assigned area
- Performs all other duties as assigned
Competencies:
Essential:
Essential:
- Able to follow instructions, both written and oral
- Able to adhere to all scheduling and attendance requirements
- Ability to maintain a high level of confidentiality in all matters
- Must be detail-oriented
- Honesty, truthfulness, reliability, accountability
- Able to read, understand, apply, and retain knowledge of Chickasaw Nation, departmental, divisional and all other rules, regulations, policies, procedures and guidelines
- Knowledge of relevant privacy regulations such as The Privacy Act, Freedom of Information Act and Health Insurance Portability and Accountability Act (HIPAA)
- Demonstrated ability to solve highly complex technical, organizational, and operational problems
- Knowledge of pharmacy programs and activities
- Ability to remain professional in all circumstances
- Able to verbally communicate in a professional and positive manner with other team members, departments, guests and management
Skills:
Essential:
Essential:
- Skilled in operating a computer and/or other equipment related to specific role (i.e. automated currency counters, calculator, projector, binding machine, other related office equipment)
- Accurate typing and/or data entry skills
Experience:
Essential:
Essential:
- 3 years directly related experience
Education:
Essential:
Essential:
- High School, GED or Equivalent
Credentials:
Essential:
Nonessential:
Essential:
- Pass general background check
- Oklahoma State Board of Pharmacy Technician Permit
- Completion of specialized competency test
Nonessential:
- National Certified Pharmacy Technician
Working Conditions:
Essential:
Essential:
- Works in a hospital or clinic environment
- Standing up to 25% of shift
- Sometimes lift and or carry up to 40 lbs
- Pass pre-employment drug test
- Must not have any arrests, charges, pleas of nolo contendere, convictions, or deferred sentences, for any misdemeanor or felony offense
Training
- It is the responsibility of each employee to attend required training for their position or profession as determined by their line of support (LOS) or the leadership of the Chickasaw Nation. It is the responsibility of those who supervise, manage or otherwise lead employees or teams to ensure each employee has access to and receives all required training.
Mission, Vision & Core Values
Mission:
Mission:
- To enhance the overall quality of life of the Chickasaw people.
- To be a nation of successful and united people with a strong cultural identity.
- The Chickasaw People
- Cultural Identity
- Servant Leadership
- Selflessness
- Can Do Attitude
- Perseverance
- Stewardship
- Trust and Respect
- Loyalty
- Honesty and Integrity
- Teamwork