"Alerted.org

Req #: 245295

Department: HARBORVIEW - PHARMACY

Posting Date: 05/07/2025

Closing Info:

Open Until Filled

Salary: $5,114 - $7,672 per month

Shift: Alternate Work Shift

Notes:

As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here. (https://hr.uw.edu/wp-content/uploads/sites/3/2018/02/benefits-professional-staff-librarians-academic-staff-20230119\_a11y.pdf)

The **HARBORVIEW MEDICAL CENTER PHARMACY DEPARTMENT** is looking for an outstanding **AMBULATORY INFUSION AUTHORIZATION SPECIALIST.** .

WORK SCHEDULE

• Full-Time / 40 hours per week

• Rotating/Variable Shift

POSITION HIGHLIGHTS

• Be responsible for supporting Pharmacy Financial Clearance for assigned clinics

• Maximize reimbursement through programs that provide funding or provision of infusion medications

• Provide insurance authorization and patient assistance program information and education to providers, patients, and staff

PRIMARY JOB RESPONSIBILITIES:

• Review and screen new patients at intake to determine if patient has adequate insurance coverage. Refer appropriate patients to financial counseling for coverage application.

• Identify patient needs and confirm insurance coverage of medication If not covered, obtain necessary information from medical record, patient, and provider to enable justification for medication assistance programs.

• Obtain initial and renewal insurance authorization for infusion medications as required by insurance plans.

• Ensure patients’ infusion orders are sent for fulfillment along with any co-pay assistance documentation.

• Work within the Pharmacy Financial Clearance team to evaluate and further develop systems and processes to track prior authorizations, reauthorizations, and appeals.

• Assist in identification of causes of denied claims and develop workflow solutions to optimize revenue capture.

• Function as patient advocate to acquire medication for patients experiencing financial challenges.

• Serve as point of reference for medication assistance audits in a timely manner and provide all necessary documentation; patient financial records, signed applications, original orders and proof that the patient received the infusion.

• Identify and resolve problems with medication assistance and reimbursement to determine compliance for patients of the assigned clinic(s). Assure resolution of infusion reimbursement and medication assistance issues with patient, provider, third party payor, and drug manufacturers to ensure patient access to prescribed infusions Explores all medication assistance and co-pay program options to minimize infusion write-offs.

REQUIRED POSITION QUALIFICATIONS:

Current certification as a Pharmacy Technician in Washington State and a Bachelor's degree in health care-related or business field or 4-5 years of experience as a pharmacy technician. Knowledge of third-party insurance billing practices, federal and state regulations with regard to billing and reimbursement, internal billing structure and billing procedures.

**LEGAL REQUIREMENT:** State of Washington Pharmacy Technician certification.

_CONDITION OF EMPLOYMENT:UW Medicine is committed to being a drug-free workplace. We require a pre-employment drug screen._** **ABOUT HARBORVIEW MEDICAL CENTER

As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine. It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care.

Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region.

**Challenge. Collaboration. Compassion. (https://www.uwmedicine.org/about/career-opportunities/harborview-medical-center)** Become part of our team. Join our mission to make life healthier for everyone in our community.

ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Join our mission to make life healthier for everyone in our community.

University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.