"Alerted.org

General Information

Job Title: Pharmacy Billing Tech

Contact: Human Resources, (907)228-9316

Date Posted: 05/02/2025

Compensation and Hours

Minimum Salary: $23.88/Hour

Maximum Salary: $35.82/Hour

Type of Job: Full Time

Hours per Week: 40

Benefits: Health/Dental/Vision/401K

Anticipated Job Duration: Year Round

Apply Online

Job Description

Indian Preference in hiring is given to qualified enrolled members of Ketchikan Indian Community (KIC) and Native Americans consistent with P.L. 93-638 and in accordance with KIC policy and other applicable federal laws.

Purpose

Ketchikan Indian Community (KIC) job descriptions are a management tool to help organize duties and provide employees with the employer’s expectations with regard to a specific job classification. The responsibilities listed are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is a reasonable assignment for the position. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

Job Summary

Incumbent will ensure account and claim information contains comprehensive and accurate data to provide for timely billing and optimal reimbursement for services. Prepares and submits insurance claims by hard copy and electronically. Will review and adjust accounts to ensure accurate and thorough billing of claims; monitors and ensure timely payment of bills. Assists the pharmacy technicians in the filling and dispensing of patients’ prescriptions under direct pharmacist supervision. Assists the pharmacy technicians with triaging phone calls, inventory management, customer service, and other duties assigned by supervisor.

Job Duties & Responsibilities

+ Prepares and submits Insurance claims to all third-party payers for all patients who receive care at the KIC Tribal Health Clinic.

+ Identifies, collects, and tracks pertinent information on those patients with third-party coverage.

+ Completes in correct format and submits appropriate document billing form using predetermined rates for those patients with alternate resource coverage to appropriate third-party insurance carriers for patient visits.

+ Assures follow up on all outstanding reimbursable insurance bills with insurance companies to assure maximum collection on each bill from third-party health plan carriers to recover maximum dollars.

+ Responds in final form to all correspondence generated by third-party insurance carriers.

+ Posts the accounts receivables and explanation of benefits into the billing package received from insurance carriers.

+ Serves as a liaison between the KIC Clinic, patients and other health care providers in the collections of alternate resource information.

+ Develops and maintains cooperative relationships between IHS and tribally managed facilities and with other agencies to assist in the exchange of information.

+ R eceives cross training in the other pharmacy technician related duties, providing backup coverage during absence of other positions and to provide breaks on a daily basis.

+ Other related duties as assigned

Minimum Qualifications (Education & Experience)

+ Education: High school diploma or equivalent

+ Experience minimum 1 year Pharmacy Technician experience OR 1 year experience in healthcare coding and billing

+ A combination of relevant experience, education, and training may substitute for education and experience requirements on a year-for-year basis.

+ Certification and/or License: Must possess or be able to acquire a current Pharmacy Technician license from the State of Alaska Board of Pharmacy prior to employment start date.

Preferred Qualifications (Education & Experience)

+ Additional training/courses in Accounting, Computers, Medical Terminology, CPT and ICD-10 coding.

+ 1+ year accounting and/or general office experience.

+ Specialized Experience (preferred): Experience gained in hospital pharmacies, retail pharmacies, or in pharmaceutical firms or laboratories. Experience should have provided a basic knowledge of:

+ Pharmaceutical nomenclature,

+ Characteristics, strengths, and dosage forms of pharmaceuticals,

+ Pharmaceutical systems of weights and measures, and

+ Variety of procedures and techniques involved in the care, storage, repackaging, bulk compounding, and distribution of pharmaceuticals.

+ National Pharmacy Technician certification preferred.

+ Experience in community clinic preferred and a strong commitment to multi-disciplinary teamwork.

Necessary Knowledge, Skills, and Abilities

+ Strong understanding and sensitivity to American Indian/Alaska Native (AI/AN) Tribal culture and lifestyle, working effectively with AI/AN populations.

+ Effective oral and written communication skills with sensitivity to the lifestyles of targeted participants.

+ Skills in operating personal computers using a variety of computer software.

+ Ability to establish and maintain cooperative working relationships with management, coworkers, and outside contacts.

+ Ability to maintain strict confidentiality and comply with all applicable federal and tribal privacy laws and KIC policy (HIPAA, HITECH, etc.).

+ Ability to learn and apply program/agency operating policies and procedures.

+ Ability to manage multiple priorities and tasks concurrently and meet deadlines.

+ Ability to work independently as well as with teams.

+ Knowledge of accounting, reception, typing, and filing.

+ Knowledge of medical terminology, ICD-10 coding, CPT coding, office procedures.

+ Skilled in office organization on minor to medium complexity tasks.

+ Ability to utilize maximum degree of professionalism and diplomacy with those who may be experiencing a high degree of stress, both mentally and/or physically (both patients and co-workers).

+ Ability to communicate professionally over the phone and in person in a positive and clear manner with patients, clinic staff, vendors, insurance companies, employees of other healthcare facilities, and students.

+ Ability to simultaneously manage multiple tasks, including phone calls, computer operations, and in-person visitors.

+ Ability to obtain personal information (demographics, employment, insurance information) from patients in a respectful and skilled manner.

+ Ability to be flexible in order to perform at the highest level as a team player.

+ Ability to take direction from supervisor and/or designee.

+ Ability to work easily and in a friendly manner with the general public and occasionally handle hostile or disgruntled patients.

+ Knowledge of procedures and regulations applicable to working in the pharmacy/clinic setting and working with patient charts.

+ Must be able to work independently on tasks not requiring immediate oversight by a pharmacist.

+ Ability to interpret, monitor, and enforce pharmacy standards.

KIC Competencies

Cultural Competency: To be respectful and responsive to the health beliefs, practices, and cultural and linguistic needs of KIC Tribal Members. Developing cultural competence is an evolving, dynamic process that takes time and occurs along a continuum.

Commitment: To serve Tribal Members and set a high standard for yourself in your performance; strive for results and success; convey a sense of urgency and bring issues to closure; and stay persistent despite obstacles and opposition.

Customer Service: Meet/exceed the expectations and requirements of internal and external customers; identify, understand, and monitor the needs of both internal and external customers; always talk and act with customers in mind; and recognize working colleagues as customers.

Effective Communication: Ensure important information is passed to those who need to know; convey necessary information with respect, clearly and effectively orally or in writing.

Responsiveness and Accountability: Demonstrate a high level of conscientiousness; hold oneself personally responsible for one's own work; and do the required fair share of work.

Working Conditions

The physical demands described here are representative of those that an employee must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is frequently required to stand and/or sit. The employee is occasionally required to walk, sit, climb, or balance. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, peripheral vision, and depth perception. The noise level in the work environment is usually average.

The environment involves the usual risks and stress of an ambulatory health care facility. The employee may be exposed to communicable diseases. Safety precautions for employees such as blood drawing for screening of various diseases such as hepatitis, required immunizations, etc. are necessary. The employee is occasionally subject to verbal abuse, threats, and physical violence from angry, hostile, or disgruntled patients and/or family members.

The work is mostly sedentary with some walking and climbing of stairs, carrying of files, or other documents and light supplies, bending and stooping to perform filing. Work is performed in an office with limited storage, filing and workspace. People asking questions/directions frequently interrupt incumbent.

Conditions of Hire

+ May be required to possess and maintain a valid driver's license or capable of obtaining one, as well as be insurable by KIC’s company insurance.

+ KIC is a Drug-Free Workplace. All employees must adhere to KIC drug and alcohol policies and procedures to ensure a safe workplace. Employees must pass a pre-employment and subsequent random and/or for cause drug and alcohol screening to be eligible for and maintain employment.

+ KIC has several positions that must comply with the P.L. 101-630 Indian Child Protection and Family Violence Protection Act (ICPA); all employment offers in the "covered" classification are conditional until KIC has received a Federal criminal background check verifying eligibility to work in these programs.

This Job Description describes the essential duties and qualifications. It is not an exhaustive statement of all the job duties, responsibilities, or qualifications; management has the exclusive right to alter or add to this job description at any time without notice. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional duties as assigned.

Required Job Qualifications

01. Can you pass a drug test?

02. Are you 18 or older?

02.(a). Education - Do you have a GED or High School diploma

03. Do you have a pending charge or past conviction for DWI/DUI?

04. Do you have any pending charge(s) or past conviction(s) for possession of a controlled substance?

05. Has your driver's license, permit, or privilege ever been suspended or revoked?

Back to List Apply Online