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. Interested candidates should submit a statement of interest and resume.
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.
Michigan Medicine 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.
U-M COVID-19 Vaccination Policy
COVID-19 vaccinations are now required for all University of Michigan students, faculty and staff across all three campuses, including Michigan Medicine. This includes those working or learning remotely. More information on this policy is available on the Campus Blueprint website or the U-M Dearborn and U-M Flint websites.
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.