Pharmacy Technician Billing Specialist - TLT/SDA

Pharmacy Operations

• Assist pharmacists in processing medication orders, preparing prescriptions, and maintaining accurate patient medication profiles.
• Enter and update prescription, insurance, and billing information in pharmacy information systems while ensuring data accuracy and completeness.
• Accurately interpret prescription information, including medication names, strengths, dosage forms, directions for use, and generic equivalents.
• Support medication dispensing workflows in accordance with pharmacy policies, procedures, and applicable regulations.
• Maintain pharmacy records and documentation related to medication dispensing activities. 

Billing and Reimbursement

• Process, submit, monitor, and reconcile pharmacy claims to third-party insurance carriers to ensure accurate and timely reimbursement.
• Verify patient insurance eligibility, benefits, and coverage details.
• Enter and update insurance and billing information in pharmacy information systems. 
• Review billing records, remittance information, and claim payments to identify discrepancies and ensure accurate adjudication and payment posting. 
• Investigate, troubleshoot, and resolve denied or rejected claims; identify root causes and implement corrective actions to improve claim acceptance rates. 
• Maintain records related to claim adjustments, rebilling activities, and reimbursement actions following medication dispensing or administration.

Medication Access and Prior Authorization

• Coordinate medication access activities, including obtaining insurance information, submitting and tracking prior authorization requests, and communicating with healthcare providers regarding coverage requirements.
• Research formulary alternatives and coverage restrictions to support continuity of patient care.
• Work with pharmacists and providers to identify covered therapeutic alternatives when insurance barriers arise.

Correctional Healthcare Support

• Collaborate with nursing and healthcare staff to support medication continuity-of-care activities related to patient release and re-entry into the community.
• Support pharmacy initiatives designed to improve medication access, adherence, and patient outcomes within the correctional healthcare environment.

Quality and Compliance

• Participate in quality improvement projects related to pharmacy operations, medication access, billing accuracy, and reimbursement processes.
• Assist with audits involving pharmacy records, billing documentation, and regulatory compliance.
• Maintain competency in pharmacy technician practices, billing procedures, and applicable state and federal regulations.
• Adhere to all applicable federal and state regulations, pharmacy laws, Public Health policies, and departmental procedures.

Our ideal candidate will demonstrate the following (Minimum):

• Washington State Board of Pharmacy Technician License at time of hire.
• Must pass DAJD Clearance and Public Health Background Check.
• Knowledge of drug names, strength, dosage forms, generic equivalents, and storage requirements.
• Knowledge of the legal requirements of a Pharmacy Technician.
• Knowledge of pharmacy practices and procedures.
• Strong understanding of pharmacy insurance, and medical terminology.
• Basic mathematics calculation skills.
• Organization skills and analytical skills to resolve billing issues.
• Time management skills.
• Strong communication (oral and written) skills.
• Skill in working in a team environment.
• Skill in data entry and personal computers. Proficiency in Pharmacy Management Systems (PMS) and Microsoft Office.
• Minimum of 2 years of experience in healthcare, retail, pharmacy, billing or similar fields.

The most competitive applicants will have the following experiences and qualifications (Desired): 

• Prior work experience in pharmacy billing.
• Prior work experience working with multi-disciplinary teams.
• Prior experience working with an electronic health record system.
• Certified Pharmacy Technician Licensure (PTCB).
• Experience working in a correctional or other locked facility.

Forbes named King County as one of Washington State's best employers.

King County is an Equal Employment Opportunity (EEO) Employer

No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.

To Apply

If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.

Who May Apply

This position is open to all qualified applicants.

The following items are required to be considered for this vacancy:

• NEOGOV Job Application (The responses on your job application should be thorough and complete and will be used in the screening process)
• Supplemental Questions (The responses to the supplemental questions should be thorough and complete and will be used in the screening process)

(Please note: Cover letters, resumes, and additional attachments will not be reviewed as part of the evaluation process if not outlined as a required application material as outlined above). 

Your application may be rejected as incomplete if you do not include the relevant information in the application. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state "see my resume" or "see my personnel file" are considered incomplete and will not be accepted.

Contact

If you have questions or would like more information about the application process, please contact Salyse Duckworth, HR Analyst at sduckworth@kingcounty.gov.

Necessary Special Requirements

• The selection process may include evaluation of application materials and supplemental questions, interviewing, and testing. You must completely fill out the application with your relevant education and work experience.
• The selected candidate must be able to provide proof of Basic Life Support (BLS) / CPR.
• The selected candidate must be able to pass a thorough background investigation, but findings may not necessarily disqualify an applicant for employment.
• For more information on our selection process, please refer to www.kingcounty.gov/depts/health/jobs/hiring. For tips on interviewing, please visit https://www.kingcounty.gov/~/media/audience/employees/learning-and-development/Interview_Tips.ashx?la=en. 
• Employees are required to protect the privacy and security of protected health information as defined in State and Federal Law.
• Public Health relies on office automation (Microsoft Office) and web-based enabled tools, therefore candidates must be proficient and comfortable with computer use to perform functions associated with on-going work.
• Employees are required to adhere to OSHA/WISHA guidelines including but not limited to completing their mandatory trainings on time and obtaining required immunizations.
• Regular and reliable attendance, effective communication skills, and development of effective working relationships are requirements of all Public Health positions.
• When Public Health responds to an emergency, and in accordance with relevant CBA language and/or KC policy and procedures, we may assign duties outside your regular job description. This may involve responding at any time, including nights and weekends, with possible deployment to locations other than the department. 
• If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact your recruiter listed on this job announcement.

Additional Information 

Public Health - Jail Health Services follows and maintains federal and state requirements standards including, but not limited to, Prison Rape Elimination Act (PREA) standards which apply to all public and private institutions that house adult or juvenile offenders. PREA standards preclude the department from hiring or promoting anyone who has engaged in, or been convicted of any conduct which would violate PREA standards related to sexual assault including:

• Sexual abuse in a prison, jail, lockup, community confinement facility, juvenile facility, or other institution.
• Convicted of engaging or attempting to engage in sexual activity in the community facilitated by force, overt or implied threats of force, or coercion, or if the victim did not consent or was unable to consent or refuse; or,
• Has been civilly or administratively adjudicated to have engaged in the activity described above.

Additionally, PREA standards require that the department consider any incidents of sexual harassment involving an inmate or detainee in determining whether or not to hire or promote anyone.
  
The above is in compliance with PREA and its implementing regulations, 28 C.F.R. Part 115, Subpart A, Section 115.17, Hiring and Promotion Decisions.

Union Membership 

This position is represented by the PROTEC17 labor union.