This position is responsible for billing and reconciliation of patient charges for medications and IV solutions for inpatients and outpatients. This includes meeting established deadlines for completion of all phases of billing and reconciliation. Reviews patient charts to identify and correct billing issues associated with high cost single charges or high cost total patient charges. Uses the companys Charge Description Master (CDM) to review billings and charges associated with medications for internal billing auditors. Routinely interacts with a variety of hospital departments.
Reviews patient records, dedicated reports, and physician/provider notes to obtain information about medication usage. Uses a standard listing of charge codes and/or an automated system to validate medication charges.
Serves as a resource to hospital personnel and pharmacy staff in resolving billing questions related to medications. Acts as a resource in regards to appropriate billable units for medications for pharmacy personnel or internal auditors.
Monitors and evaluates system reports to prevent erroneous billing practices. Audits daily error reports in the medication billing system and makes corrections when issues are identified. Matches, corrects, and codes charges that do not transmit to the billing system. Identifies and resolves problems with the medication billing system, as well as assists in the development and implementation of programs to improve and enhance service quality.
Verifies and inputs patient charges into the applicable billing systems. Processes charges for non-formulary medications, EMS replenishment, specialty area charges that are not already automated, and patient assistance billing. This may involve compiling data from multiple sources into meaningful information and then transferring that into the appropriate systems.
Analyzes financial reports generated by the technology systems for the pharmacy department. Presents reports to management and assists with the resolution of issues identified.
Assumes the duties of the Pharmacy Technician II when needed and as appropriate. These duties may include, but not be limited to preparing, charging and crediting medications, restocking automated dispensing technology and compounding specialty medications and intravenous medications.
Requires pharmacy technician licensure in the state of practice (where applicable). Pharmacy technician certification required.
Must demonstrate 1 to 2 years experience performing in a pharmacy technician role. Must also have proven experience working with automated technology systems related to pharmacy distribution. Must possess good organizational, problem solving and computer skills. Must possess training in compounding intravenous medications and sterile products preparation. Must demonstrate effective oral and written communication skills, problem solving, and conflict resolution of the pharmacy department. Must have knowledge of computer software, particularly medication management information system software, Microsoft applications and automated dispensing systems.
Prefer 2-3 years experience as a Pharmacy Technician in hospital pharmacy practice. Previous supervisory experience is preferred. Computer software experience preferred. Experience serving as a pharmacy and nursing liaison for automated distribution systems desired.Additional related education and/or experience preferred.
Additional related education and/or experience preferred.
Internal Number: 249625
About Banner Health
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.