"Why choose Penn Medicine?
As a professional, you are seeking to join one of the nation's leading academic medical centers, servicing patients from all over the world. Penn Medicine believes that the best care for our patients starts with the best care for our employees! Our campus' offer tobacco free environments and our employee benefits programs help our employees get healthy and stay healthy. Employees who certify that they do not use tobacco products are eligible to receive an Earned Premium Discount on the cost of their medical benefits. Penn Medicine has been awarded several national healthcare quality awards and we seek employees who are engaged and excited about our mission of continued service excellence and ongoing professional development.
We believe that your life will be enriched should you become a Penn Medicine employee and we thank you for your interest in our organization."
Obtain pre-certification and referrals for inpatient and same day encounters. Verification of benefits and pre-certify selected outpatient registrations. Provide specialized support in the areas of insurance and billing information. Support the representatives solving problems and answering questions. This position will ensure access to integrated health care; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.
High school diploma required. A certified pharmacy technician with 3-5 year s experience in a community-based retail or hospital outpatient pharmacy environment or a financial coordinator. Additional experience in obtaining pre-certification in the community retail setting is preferred.
Demonstrated proficiency and process knowledge of outpatient prescription program payer/PBM billing, issue resolution, and payment processes—including Prior Authorization and Claim Exception Facilitation. Understanding and process knowledge of Medicare Part B billing in a retail pharmacy setting (e.g. Part B vs. Part D drug billing).
Demonstrated computer literacy-including Word/Excel capabilities. Available to work rotating and flexible schedules. Excellent verbal and written skills. Maintains professional appearance. Strong organizational, record-keeping, and time management skills are essential. Consistently demonstrates a high degree of customer service skills.
"At Penn Medicine, you will enjoy the camaraderie and support that you will experience at our prestigious institution. As a recipient of the Philadelphia Business journal's healthiest employer award, we continue our commitment to help our employees maintain healthy lifestyles. We offer a comprehensive compensation and benefits program that includes one of the finest pre paid tuition assistance programs in the region.
Your Life is Worth Penn Medicine
University of Pennsylvania Health System - 10 months ago
The University of Pennsylvania was founded by Benjamin Franklin when he had a little down time between establishing a country and...