Pharmacy Technician Billing Specialist

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY
Works under supervision to provide support on all pharmacy billing inquiries.  Monitor assigned pharmacy work queues, resolve errors, and respond to request for information.  Research, analyze, and resolve rejected claims.  Prepare and maintain reports that help identify discrepancies.  Work with internal and external auditors to resolve rejected NDCs.  Adjust billing charges as needed.  Reconcile pharmacy invoices.  Assist others within the pharmacy finance team.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

Experience And Educationrequired

EducationHigh School Diploma

• Experience2 years of relevant experience as a pharmacy technician or pharmacy claims billing specialist  
• Licenses and CertificationsRegistration with Texas State Board of Pharmacy as a Registered Technician Upon Hire  

Preferred

• Licenses and CertificationsNational Certification with Pharmacy Technician Certification Board Upon Hire  

Job Duties

• Monitor assigned pharmacy work queues, resolve errors, and respond to requests for information; work with others internally to resolve any issues.
• Researches, analyzes and appropriately resolves rejected claims by reaching out to PBMs, external vendors, or internal departments to ensure maximum payer reimbursement.
• Tracks and resolves at risk revenue associated payer set up, billing, rebilling and reversal processes.
• Prepare and maintain reports that help identify discrepancies related to billing, reimbursement, and/or drug price inaccuracies.
• Help answer questions related to reconciliations, claim billing, and reimbursement.
• Run reports as needed.
• Reconcile all pharmacy invoices.
• Assist others within the pharmacy finance team.
• Perform other duties as assigned

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.