Specialty Pharmacy Patient Financial Counselor - Military Veterans

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.

Basic Function and Responsibility

This 1.0 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.

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 teams efficiency to decrease turnaround time for patient access to medication

• 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.

• 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.

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

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.

Although the Posting End Date may indicate otherwise, this job may be filled and closed any time after a posting duration of seven calendar days.

The University of Michigan is an equal opportunity/affirmative action employer.