OHSU is proud to be designated a Magnet hospital by the American Nurses Credentialing Center. Just 9 percent of U.S. healthcare organizations hold this designation. We pride ourselves in not only serving our community with the highest of accolades but also pushing a multifaceted mission that strives for excellence within the OHSU Culture.

 

OHSU is hiring! We offer a variety of benefits on top of joining a thriving organization:

• Medical, dental and vision coverage at low or no cost to employees
• Covered 100% for full-time employees and 88% for dependents
• Several retirement plans to choose from! – Oregon Public Service Retirement Plan and University Pension Plan, voluntary savings plans (403b, 401a and 457b)
• Up to 200 hours (equal to 25 full days) a year of paid time off 
• 96 hours of sick leave a year (prorated by FTE status) 
• Commuter subsidies
• Tuition reimbursement 
• Access to group life insurance, disability insurance and other supplemental benefits
• Annual Raises
• Employee discounts to local and major businesses
• Childcare service discounts
• Employee Resource Groups
• Growth/Development Opportunities

We want you, apply and work with us today! https://www.ohsu.edu/

 

The purpose of this position is to ensure accurate and timely outpatient specialty retail pharmacy patient charges by providing technical support in the design, implementation and ongoing monitoring of pharmaceutical charges processed by the Department of Pharmacy Services. This activity requires interfacing with other institutional systems involved in drug charge processing including, but not limited to, Pharmacy Technicians, Pharmacist, Pharmacy Operations Management, Revenue Cycle Team, Patient Billing Services, Patient Account Services, and Hospital Fiscal Services.

 

This position works independently performing specialized and detailed review of the entire outpatient drug revenue cycle. This includes reviewing reports to determine conformity for documentation and billing compliance in support of the complex, ever changing and expanding Pharmacy Service Lines.

Use in-depth knowledge on Pharmacy Willow Ambulatory to identify difference between workflow and system issues as they arise. Timely and accurate review and submission of pharmacy charges and reimbursements. Triage of incoming inquires, collaborate across the organization to adapt workflow to properly capture patient revenue accurately when the system is unable to support the function. Train and cross-train team members. Create new and maintain policies and procedures.

 

This is of the first of the two levels in this job class.

• Use retail pharmacy clinical knowledge to perform detail review and analysis of pharmacy dispense, adjudication, reconciliation, and coding to ensure pharmacy billing compliance standards are met.
  • Verify medication charge calculation based on specific National Drug Code (NDC) and for units administered to the patient.
  • Identify charging and reimbursement errors and resolve them appropriately
  • Ensure current up to date pricing by validating Epic applied pricing is consistent with external source, when inconsistency exist use experience and judgement to propose resolution
  • Trouble shoot, problem solve, communicate and collaborate deficiencies
  • Maintain multiple follow-up and work towards resolution with Technicians, Pharmacists and Pharmacy Operations on deficiency to support billing compliance
  • Review reports for deficiencies and identify trends, resolve issues and create remediation plan as necessary
  • Analyze and interpret charge and reimbursement data to ensure accuracy
  • Propose changes to improve workflow and system that will improve revenue cycle for the retail pharmacies
• Provide technical support in the design, implementation and ongoing monitoring of pharmaceutical charges across multiple pharmacy systems. Ensure pharmacy charge methods follow regulatory requirements.
  • Post revenue daily
  • Review revenue monthly
  • Post and review DME charges??
  • Review and report out on monthly charges for partner hospitals
  • Ensure accurate bank deposits and revenue capture
  • Medicare billing, posting and review
  • Track revenue and ensure accuracy for all current and future outpatient programs to include but limited to; C-Train, Community Health, Population Health, Home Infusion, PBM

• A bachelor’s degree in Business Administration, Management, Public Administration, or a field directly related to the position will substitute for two years of the required experience.

• Three years of experience administering or coordinating parts or subsets of a project or program.

• 1-2 years of related experience in a pharmacy technician role that requires accurately, efficiently and effectively meet the performance standards

• Proficiency with Microsoft Outlook, Excel, PowerPoint and Word

• Organized task and follow-up items

• Ability to read and understand medical related terms

• Ability to perform basic pharmaceutical mathematics calculations

• Ability to effectively work both independently and in a team environment; effective organizational abilities, oral and written communication skills, and interpersonal skills; ability to operate and communicate effectively while meeting multiple deadlines and completing projects simultaneously; ability to interact in a positive, productive manner with provider, nursing, pharmacy staff and leadership (demonstrating sensitivity, tact, and professionalism)

• Compliance with Code of Conduct, Respect in the workplace and Applicable policies, procedures and agreements related to position, department or OHSU as a whole

• Must be able to perform the essential functions of the position with or without accommodation

• Pharmacy technician certification

• Formal Retail pharmacy technician training program   

• Pharmacy Technician experience with hospital
  • Perform calculation for medication charge
  • Epic and Willow system
• Pharmacy/medical terminology
• Healthcare billing process
• OHSU pharmacy operations
• OHSU pharmacy dispensing systems

Pay Range: $31.79 - $42.97 per hour (Commensurate with qualifications, experience and internal equity)

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.