Pharmacy Billing Specialist

Pharmacy Billing Specialist

Why UT Southwestern?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. At UT Southwestern, we invest in you with opportunities for career growth and development that align with your future goals and help to provide security for you and your family. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more that are all available on the day you start work. UT Southwestern is honored to be a Veteran Friendly work environment that is home to approximately 800 veterans. We value your integrity, dedication, and the commitment you've made to our country. We're proud to support your next mission. Ranked by Forbes as one of the Top 10 National Employers, we invite you to be a part of the UT Southwestern team where you'll discover teamwork, professionalism, and consistent opportunities for growth.

Job Summary

The Pharmacy Billing Specialist will report to the Finance Manager.

Minimum Qualifications Education/Experience

• High School graduation, vocational school graduation, or GED
• Two (2) years of relevant experience as a pharmacy technician or pharmacy claims billing specialist required
• Registration with Texas State Board of Pharmacy as a Registered Technician
• Additional coding certification (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, or CBP) strongly preferred
• National Certification with Pharmacy Technician Certification Board preferred

Job Duties

• Monitor assigned pharmacy work queues, resolve errors, and respond to requests for information; work with others internally to resolve any issues
• Researches, analyzes and appropriately resolves rejected claims by reaching out to PBMs, external vendors, or internal departments to ensure maximum payer reimbursement
• Tracks and resolves at risk revenue associated payer set up, billing, rebilling and reversal processes
• Prepare and maintain reports that help identify discrepancies related to billing, reimbursement, and/or drug price inaccuracies
• Help answer questions related to reconciliations, claim billing, and reimbursement
• Run reports as needed
• Reconcile all pharmacy invoices
• Assist others within the pharmacy finance team
• Perform other duties as assigned.

KNOWLEDGE, SKILLS, & ABILITIES Ø

• Work requires good general health and stress coping ability
• Work requires good communication skills
• Work requires the ability to prioritize large volumes of work
• Work requires the ability to analyze problems, develop solutions, and implement new procedures

The following is the acronym, "PACT", and is fundamental to all clinical positions at UT Southwestern Medical Center:

• P-Problem Solving: To achieve excellence in patient care and service, all employees are expected to take ownership in solving problems effectively, efficiently and to the satisfaction of the patient.
• A-Ability, Attitude and Accountability: In keeping with a professional healthcare environment, all employees are expected to have the ability to perform their jobs and to appear and conduct themselves in a professional and positive manner.
• C-Communications and Compassion: It is our goal that all our communications are clear, courteous, timely, and delivered with compassion, respect and appropriate confidentiality.
• T-Teamwork: In our medical environment, our patients regard every employee they encounter as a member of the Southwestern Medical Center team. Our goal is to individually work hard to contribute to our team, support our co-workers, and to achieve not only excellent patient care and service, but also a satisfying, caring environment for each other.

Working Conditions

Work is performed primarily in office area.

Security

Any qualifications to be considered as equivalents in lieu of stated minimum require prior approval of Vice President for Human Resources Administration or his/her designee.

This position is security-sensitive and subject to Texas Education Code •51.215, which authorizes UT Southwestern to obtain criminal history record information. UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community.

U T Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.