Pharmacy Technician Billing Specialist - TLT/SDA
King County
Pharmacy Technician (Pharmacy Billing Specialist)
Public Health Seattle & King County is seeking a Term-Limited Temporary or Special Duty Pharmacy Technician (Pharmacy Billing Specialist) to join its team within the Jail Health Services Pharmacy Department. This position combines traditional pharmacy technician responsibilities with specialized pharmacy billing and reimbursement functions. Under the supervision of a licensed pharmacist, the Pharmacy Technician Billing Specialist supports medication distribution, prescription processing, patient profile maintenance, insurance billing, prior authorizations, and claims management activities.
The incumbent serves as a liaison between pharmacy operations and reimbursement processes, helping ensure timely access to medications, accurate billing, and compliance with applicable federal, state, county, and departmental regulations. This position collaborates with pharmacists, pharmacy technicians, nursing staff, project managers, and insurance representatives to support both patient care and pharmacy operations within a correctional healthcare setting.
This TLT position offers a hybrid work environment and opportunities to work across multiple pharmacy locations while gaining experience in correctional health, pharmacy operations, medication access, and pharmacy billing.
Jail Health Services (JHS) provides needed health and social services to the incarcerated population located in the King County jails King County Correctional Facility (KCCF) in Seattle, WA and Maleng Regional Justice Center (MRJC) in Kent, WA. The primary services we provide include medical, dental, mental health, social and release planning services, treatment of substance use disorders, and pharmaceutical services. We care about the patients we serve and their health outcomes. Our division includes over 250 employees and an annual budget of over $60 million.
The purpose of JHS is to assure that high-quality health and human services are available to the incarcerated population in the King County adult correctional facilities: the King County Correctional Facility (KCCF) in Seattle and the Maleng Regional Justice Center (MRJC) in Kent. The JHS vision is Opening doors to healthier, happier lives, and the mission is to assess and stabilize serious health problems for the detained population of the King County Correctional Facility and the Maleng Regional Justice Center with a focus on transition from jail.
Staffed 24 hours per day, 7 days per week, 365 days per year, JHS provides a broad range of health care to all individuals booked into the jails. For patients with serious mental health or medical conditions, special housing units (psychiatric and infirmary) along with a higher level of services and medical monitoring are provided. Since the patient population varies both in numbers as well as in acuity of health conditions, staffing is adapted and flexed to meet the constantly changing needs of the population.
JHS staff manage the complex health needs of underserved populations, many of whom come to the facility without access to care in the community and with decompensated acute and chronic health conditions.
Temporary opportunity. Term-Limited Temporary (TLT) positions are "at-will" positions but are eligible for benefits. This TLT is currently anticipated to last 2 years (with the possibility of extension). However, funding sources for this work remain uncertain and dependent upon decisions actively being made at both the federal and local levels. As a result, the end date of this position may be adjusted based on those decisions. The County and the Department continue to work to secure long-term funding sources.
This vacancy can also be filled as a Special Duty opportunity. For Special Duty Assignment interest, you must be a Career Service, Career Service Exempt or other regular (non-temporary) employee in King County who has completed their initial County probation. You must have supervisor approval prior to taking a Special Duty Assignment.
Note: This posting will create a list of qualified candidates that may be considered for selection of additional vacancies of the same position type over the next 6 months.
Commitment To Equity and Social Justice
Named after Dr. Martin Luther King, Jr., one of the most influential civil rights leaders in our nation's history, King County is a vibrant international community with residents that represent countries from around the world. It is a region with increasing diversity that cherishes the traditions of many cultures.
The county government has a deep commitment to equity and social justice and advancing practices, strategies, and policies that promote fairness, justice, and opportunity for all in our workplaces and our communities. With this commitment, King County has adopted a pro-equity agenda to advance regional change and ensure that residents from all communities are incorporated into our emergency planning and public outreach efforts.
We recognize that structural racism consists of principles and practices that cause and justify an inequitable distribution of rights, opportunities, and experiences across racial groups. Since declaring Racism is a Public Health Crisis in June 2020, King County and Public Health committed to being intentionally anti-racist and accountable to Black, Indigenous and People of Color communities.
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Work Schedule
The typical schedule work hours will vary between 7:00 am and 5:30 pm depending on the location and shift. The various work schedules dependent on the project needs. Holidays and weekends may be included and may work outside these days/hours to meet operational needs. This is a non-exempt position and is subject to the provisions of the Fair Labor Standards Act and is overtime eligible.
Remote and Onsite Work
This position will work in a hybrid model, with days in the office as well as telecommuting. The ratio of remote to onsite work will be dependent on business needs and is subject to change. The primary onsite location is at the Chinook Building located at 401 Fifth Ave. Seattle, WA 98104. The employee may work on-site and/or telecommute based on our business needs. Other site locations are:
- King County Correctional Facility located at 500 5th Ave, Seattle, WA 98104
- Maleng Regional Justice Center located at 620 W James St, Kent, WA 98032
- Eastgate Public Health Center located at 14350 SE Eastgate Way, Bellevue, WA 98007
- Downtown Public Health Center located at 2124 4th Ave, Seattle, WA 98121
Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.
King County has a robust collection of tools and resources to support working remotely. The individual selected for this opportunity will join an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment. Employees will be provided with a County-issued laptop and must maintain a home workspace with an internet connection where they can reliably perform work and remain available and responsive during scheduled work hours.
Job Duties
Pharmacy Operations
- Assist pharmacists in processing medication orders, preparing prescriptions, and maintaining accurate patient medication profiles.
- Enter and update prescription, insurance, and billing information in pharmacy information systems while ensuring data accuracy and completeness.
- Accurately interpret prescription information, including medication names, strengths, dosage forms, directions for use, and generic equivalents.
- Support medication dispensing workflows in accordance with pharmacy policies, procedures, and applicable regulations.
- Maintain pharmacy records and documentation related to medication dispensing activities.
Billing and Reimbursement
- Process, submit, monitor, and reconcile pharmacy claims to third-party insurance carriers to ensure accurate and timely reimbursement.
- Verify patient insurance eligibility, benefits, and coverage details.
- Enter and update insurance and billing information in pharmacy information systems.
- Review billing records, remittance information, and claim payments to identify discrepancies and ensure accurate adjudication and payment posting.
- Investigate, troubleshoot, and resolve denied or rejected claims; identify root causes and implement corrective actions to improve claim acceptance rates.
- Maintain records related to claim adjustments, rebilling activities, and reimbursement actions following medication dispensing or administration.
Medication Access and Prior Authorization
- Coordinate medication access activities, including obtaining insurance information, submitting and tracking prior authorization requests, and communicating with healthcare providers regarding coverage requirements.
- Research formulary alternatives and coverage restrictions to support continuity of patient care.
- Work with pharmacists and providers to identify covered therapeutic alternatives when insurance barriers arise.
Correctional Healthcare Support
- Collaborate with nursing and healthcare staff to support medication continuity-of-care activities related to patient release and re-entry into the community.
- Support pharmacy initiatives designed to improve medication access, adherence, and patient outcomes within the correctional healthcare environment.
$26 - $30 per hour
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