Pharmacy Billing Specialist

Klamath Tribal Health & Family Services   Klamath Falls, OR   Full-time     Pharmacy
Posted on March 23, 2024

Pharmacy Billing Specialist Step Range 12: ($38,149) - 31 ($66,895) Regular – Full –Time Position with Full-Time Benefits

POSITION OBJECTIVE Working under the direct supervision of the Pharmacy Billing Supervisor, the incumbent shall perform a variety of technical billing functions to support the mission of KTHFS. The incumbent will provide support to Pharmacy staff in respect to billing of prescriptions claims and services.

MAJOR DUTIES AND RESPONSIBILITIES: 1. Proactively gain knowledge to maintain a high level of industry knowledge related to the review/ audit and billing of pharmacy claims for prescriptions and pharmacy services. 2. Collaborate with and be available to pharmacy personnel for timely response and support for billing questions and needs. 3. Build and retain positive and professional relationships with external KTHFS business partners.

KNOWLEDGE, SKILLS, ABILITIES: Possess knowledge of Oregon and federal regulations regarding pharmacy operations, rules and regulations. Possess skilled knowledge of private insurance, Medicare and Medicaid billing of pharmacy services. Ability to perform work and accomplish tasks following specific Policy and Procedures set forth in the Pharmacy SOP and priorities of the pharmacy.