Fred Hutchinson Cancer Center is an independent, nonprofit, unified adult cancer care and research center that is clinically integrated with UW Medicine, a world leader in clinical care, research and learning. The first National Cancer Institute-designated cancer center in the Pacific Northwest, Fred Hutch's global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy, and COVID-19 vaccines has confirmed our reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Based in Seattle, Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy, and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures for the world's deadliest diseases and make life beyond cancer a reality.
At Fred Hutch, we believe that the innovation, collaboration, and rigor that result from diversity and inclusion are critical to our mission of eliminating cancer and related diseases. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an antiracist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, antiracism, and inclusion.
Working under the immediate supervision of a pharmacist, the Pharmacy Billing Coordinator ensures that all authorizations/certifications for drug therapy are completed in accordance with payer criteria and policy, in a timely manner, and prior to therapy initiation. The PBC will work on behalf of the patient to optimize access to all available funding sources, including patient and copay assistance programs.
Determine benefit limits and secure insurance approvals for specialty and high cost medications..
Work closely with care team to communicate any coverage issues..
Evaluate patterns in denied claims taking corrective action and educating staff as needed.
Liaison with Patient Financial Services.
Serve as a resource to patients and staff regarding insurance and drug coverage questions.
Provide patient assistance program information and education to providers, patients and medical center staff.
High School Diploma
WA state Pharmacy Technician Certification
Completion of Pharmacy Technician Program
Ability to communicate verbally in person, on the phone, and in writing in a clear, concise and professional manner
Familiar with the generic names of drugs along with their basic indication.
Able to perform basic pharmaceutical calculations
Ability to use a mouse, navigate computer programs, enter data into computer systems in accurately and efficiently
Completing and submitting prior authorization forms and patient assistance applications
Reprocessing denied or rejected third party claims
Review and correct discrepancies identified in daily, weekly and monthly billing reports.
Ability to work in a fast paced and complex environment.
Knowledge of CPT, ICD-10 and other medical terminology
Experience with Electronic Medical Records
SCCA has a mandatory COVID-19 vaccination policy, and there are no exceptions for any employee who is patient-facing and/or requires access to SCCA facilities.
Exceptions exist only for employees whose positions are fully remote, with no required access to campus. As a condition of employment, newly hired employees requiring access to campus must provide proof of vaccination before their first day of employment.
A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists.
Our Commitment to Diversity
We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to our Employee Services Center at firstname.lastname@example.org or by calling 206-667-4700.
The Seattle Cancer Care Alliance (SCCA), located in Seattle, Washington, is part of a dynamic collaboration among three organizations known nationally and internationally for their patient care and research: Fred Hutchinson Cancer Research Center, University of Washington, and Seattle Children's. Over the past 25 years, these institutions have worked together to support their mission of adult and pediatric oncology patient care services, research, and education.