This position is located in the Pharmacy Department of the Yakama Service Unit in Toppenish, Washington. The incumbent serves as a Pharmacy Technician with an emphasis on pharmaceutical billing and Point-of-Sale (POS) duties. The incumbent processes claims (billing only) on-line to health insurance carriers for the cost of pharmaceuticals furnished to patients who are covered by health insurance policies and have received treatment at the facility.

Duties

Provides basic medical support for pharmacist lead clinics such as appointment scheduling, taking vitals including, height, weight and blood pressure, screens for allergies, immunization status, and identifies medication related problems. Participates and supports community events as needed. Assesses patients for medication compliance, assessing for duplication of therapy, medication preparation, review, supply functions, dispensing and control of medications and other pharmaceutical products that are supplied by the pharmacy service to the ambulatory patients, nursing staff and physicians. Performs the technical processes entailed in processing and dispensing medications to patients which includes basic review of the chart to determine appropriate patient and number of medications including quantities to be dispensed, formulary exclusion violations, appropriateness of provider prescribing privileges, accidental omission of medication orders. Monitors patient data in system to ensure accurate data and appropriate billing information. Identifies, researches, follows-up and resubmits rejected claims in order to ensure maximum reimbursement to the facility. Runs a variety of reports locating discrepancies in data input, determining the source of the error and taking necessary remedial action. Works with contacts at various Pharmacy Benefit Managers help desks to fix rejections within specified timeframes. Provides the Chief Pharmacist reports on payable claims, rejected claims, and paper claims on a daily, weekly, monthly basis or as needed. Manages the regular program of supply procurement and supply management. This includes assessment of need, preparing purchase orders and requests, placing computer generated or phone orders to prime vendor or wholesalers, receiving drugs into the pharmacy, taking periodic inventories of stock.

Requirements

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. BASIC REQUIREMENT(S): Specialized Experience For positions at GS-4 and above: Qualifying specialized experience may have been gained in hospital pharmacies, retail pharmacies, or in pharmaceutical firms or laboratories. Experience must have provided a basic knowledge of: Pharmaceutical nomenclature; Characteristics, strengths, and dosage forms of pharmaceuticals; Pharmaceutical systems of weights and measures; and the Variety of procedures and techniques involved in the care, storage, repackaging, bulk compounding, and distribution of pharmaceuticals. In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below. MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: GS-06: Filling prescriptions utilizing automated dispensing equipment; distributing pharmaceuticals; utilizing pharmacy based computer systems; working with insurance claims to bill for pharmaceuticals and resolve any billing issues; and performing pharmaceutical procurement and inventory management. Selective Placement Factor: Possess a current and active certification through Pharmacy Technician Certification Board or National Health Career Association AND an active Pharmacy Technician License within any U.S. State or U.S. Territory. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

There are no education requirements.

Contacts

• Address Yakima Service Unit 401 Buster Road Toppenish, WA 98948 US
• Name: Raquel Sells
• Phone: 503-414-7737
• Email: [email protected]