Specialty Pharmacy Patient Financial Counselor

How to Apply

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Job Summary

Basic Function and Responsibility

This FTE position is dedicated to 100% patient care as a pharmacy financial coordinator within the specialty pharmacy program. This position reports directly to the PFC Supervisor.

This FTE position is dedicated to 100% patient care as a pharmacy financial coordinator within the specialty pharmacy program. This position reports directly to the PFC Supervisor.

Characteristic Duties and Responsibilities

The patient financial coordinator (PFC) will coordinate medication access and financial assistance for Michigan Medicine specialty pharmacy patients. This includes performing pharmacy insurance benefit investigations; completing specialty pharmacy prior authorizations (PAs); coordinating specialty prescription drug appeals; coordinating specialty medication financial assistance enrollment (copay cards, patient assistance programs, etc) for eligible patients; assisting in the miscellaneous coordination and follow up with providers and MM specialty pharmacy to ensure timely access to specialty medication therapy.

Mission Statement

The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Responsibilities*

Core functions include

• Obtaining detailed prescription insurance information to adjudicate claims

• Communicate complex pharmacy benefit insurance and financial information relating to specially medications to patients and internal and external customers, as appropriate.

• Evaluate patient-specific medication, insurance, and financial situations and provide counseling relating to coverage terms, benefits, and related requirements

• Assist eligible patients in perusing access to manufacturer and extended coverage options

• Troubleshoot and resolve complex pharmacy benefit billing issues associated with specialty medications

• Identify, develop, and implement additional quality improvement initiatives to improve the team's efficiency to decrease turnaround time for patient access to medication

Required Qualifications*

• Minimum of one (1) year experience in a pharmacy or medical office setting with background in insurance benefits, billing and verification, and patient financial counseling.

• Excellent written and verbal communication skills.

• Excellent customer service skills.

Desired Qualifications*

• Bachelor or associate degree in a healthcare-related field or 3-5 year of experience in a pharmacy or medical office setting.

• Ability to work well as part of a team and with minimal supervision, consistently problem solving and managing time in an efficient and productive manner.

• Knowledge of medical and prescription insurance company policies and requirements (i.e. Medicare, Social Security, Medicaid, and Medicare Part D).

• Ability to handle time-sensitive information while maintaining strict patient confidentiality

• Analytical and computing skills with Word and Excel programs.

• Experience with Epic, QS1-NRx, and other billing and pharmacy dispensing programs.

• Ability to perform a variety of manual dexterity movements, including keyboarding; fluency in reading, writing and speaking English.

• Ideal candidate must be patient-centered, flexible, adaptable to change, innovative, and willing to take on tasks/responsibilities with autonomy and creativity as we are a growing program and the working environment will continue to change.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes