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OK-SSM Health St. Anthony Hospital - Oklahoma City

Worker Type:

Regular

Job Highlights:

Continue your Pharmacy Career at **SSM Health** . Hybrid Remote based in either Oklahoma City, OK or St. Charles MO. 3 days in office, 2 days remote. Be a part of our Pharmacy Business Support Team.

**Primary Location** : SSM Health St. Anthony Hospital - Oklahoma City or St. Joseph Hospital - St. Charles

**Department:** Pharmacy Business

**Schedule** : Full Time Days - Hybrid Remote (3 days in office 2 days remote) no nights or weekends

Pharmacy Business Support experience preferred

Job Summary:

Responsible for the timely and accurate billing of medication claims submitted through the electronic health record. Works with other departments to design, implement and evaluate billing processes and workflows that pertain to medication charges.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

+ Responsible for financial reporting on behalf of pharmacy services, including but not limited to accounts receivable management, month-end close, yearly financial reporting and compliance (serving as FWA and PBM contracting compliance officer).

+ Verifies to ensure that dispensed high-cost medication products have been accounted for and reconciled with medication charges in the electronic health record.

+ Evaluates the effectiveness of the billing process and introduces improvements as necessary. Research's and resolves medication charging errors, and rebills charity medications where applicable and in compliance with all prescription benefit management (PBM) and Health Resources and Services Administration (HRSA) guidelines

+ Oversees billing of departments and external organizations. Verifies accurate billing during electronic health record (EHR) downtime. Assists auditors to verify accurate patient billing or prepare for appeal audits. Maintains competency in medication billing regulations, policy and guidance.

+ Maintains a log of invoices received by outside vendors, processes in the invoice processing system, creates the appropriate invoice approval paperwork and allocates the invoice amount to the appropriate pharmacy sub-account.

+ Responsible for PBM contracting including implementation, updating, and compliance. Serve as the HIPAA privacy policy officer and assist manager as applicable in any pharmacy or business licensing management including but not limited to National Council For Prescription Drug Programs accreditation, Medicaid and Medicare renewals, and applicable tax forms.

+ Performs other duties as assigned.

EDUCATION

+ Bachelor's degree or equivalent years of experience and education

EXPERIENCE

+ No experience required

PHYSICAL REQUIREMENTS

+ Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

+ Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.

+ Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.

+ Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.

+ Frequent keyboard use/data entry.

+ Occasional bending, stooping, kneeling, squatting, twisting and gripping.

+ Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.

+ Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois

+ Pharmacy Technician, Registered - Illinois Department of Financial and Professional Regulation (IDFPR)

+ And

+ FUTURE - Pharmacy Technician, Registered within 2 months - Illinois Department of Financial and Professional Regulation (IDFPR)

+ Or

+ IL Registration Application Process Complete At Time Of Hire - Illinois Department of Financial and Professional Regulation (IDFPR)

+ And

+ Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB)

+ Or

+ Certified Pharmacy Technician (ExCPT/CPhT) - National Healthcareer Association (NHA)

State of Work Location: Missouri

+ Pharmacy Technician - Missouri Division of Professional Registration

+ Or

+ MO Registration Application and Finger Print Process Complete AT TIME OF HIRE

+ -

+ Missouri Division of Professional Registration

+ And

+ FUTURE - Pharmacy Technician, Registered within 6 months - Missouri Division of

+ Professional Registration

State of Work Location: Oklahoma

+ Technician - Oklahoma State Board of Pharmacy

State of Work Location: Wisconsin

+ Pharmacy Technician, Registered - Wisconsin Department of Safety and Professional Services

+ Or

+ WI Registration Application Process Complete AT TIME OF HIRE - Wisconsin Department

+ of

+ Safety and Professional Services

+ And

+ FUTURE - Pharmacy Technician, Registered within 6 Months - Wisconsin Department of

+ Safety

+ and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8753030033 System Pharmacy Community

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

+ **Paid Parental Leave** **:** we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).

+ **Flexible Payment Options:** our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

+ **Upfront Tuition Coverage** : we provide upfront tuition coverage through FlexPath Funded for eligible team members.

Explore All Benefits (https://jobs.ssmhealth.com/us/en/benefits)

_SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,_ _pregnancy, veteran status_ **_,_** _or any other characteristic protected by applicable law._ Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205881493.704955970.1667719643-240470506.1667719643)