Pharm Technician II, Business Analyst (Billing & 340B Compliance) - Pharmacy

JOB SUMMARY:

This position is the inpatient and retail expert resource regarding pharmacy billing, charge capture, revenue enhancement and reimbursement. Under the general direction of the Pharmacy Leadership, this position is responsible for the identification of charge and reimbursement errors, charge correction, interfaces with other Departments on issues related to charge capture and reimbursement, and overseeing daily manual charges. This position provides data and analysis for budget development and adherence in the areas of pharmaceutical supplies. Strong communication, coordination and prioritization skills are required. This position is responsible for day-to-day monitoring of the 340B accumulations for the inpatient, home care and retail pharmacies to ensure accuracy. This position provides advanced knowledge of billing and charge capture with respect to the 340B program.

MINIMUM QUALIFICATIONS:

H.S. Diploma, GED, or Equivalent

3 Years of Experience

Registered Pharm Tech

Proficient in Microsoft Excel, Word and Outlook programs

Knowledge of MediCal and MediCare reimbursement for pharmaceuticals

Related experience of three years in Business or Patient Financial Services

Knowledge of CPT and HCPCS codes for pharmaceutical reimbursement

PREFERRED QUALIFICATIONS

Bachelor’s Degree

5 Years of Experience

The current salary range for this position is $33.08 to $46.04

A candidate’s placement in the range will be determined based on the terms and conditions of the applicable collective bargaining agreement. Rady Children’s Hospital is committed to being externally competitive and internally equitable. We demonstrate this commitment by reviewing market data to remain competitive within the nonprofit, healthcare sector. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.