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. Interested candidates should submit a statement of interest and resume.
Summary
AMA Patient Financial Counselor duties may include:
- Gather information for prescription insurance coverage, home pharmacy, and preferred pharmacy of choice for prescription filling.
- Facilitate resolution of prior authorizations, insurance barriers, and other medication access issues.
- Close collaboration with clinic leadership and MM Specialty Pharmacy on process improvements
- Collect data to determine process and outcomes measures of program.
- Assist with problem solving and process improvements relevant to the program.
- Other duties and projects as assigned by supervisor to facilitate safe and efficient medication-related access.
Duties and Responsibilities
- Obtain detailed insurance benefit information including but not limited to; appropriate billing information (medical vs prescription covered benefit), retail and mail order prescription co-pays, network pharmacies, plan formulary, prior authorization requirements, appeal letters, and other necessary information to successfully adjudicate medication claim.
- Evaluate medication orders to determine appropriate non-clinic interventions, including prior authorizations, appeal, and financial assistance.
- Troubleshoot complex billing issues (insurance/prior authorization, coordination of benefits etc) and resolve as able and/or appropriate.
- Identify, assist and submit patient assistance program forms when applicable.
- Research formulary alternatives for medications prescribed to patients.
- Work closely with clinic teams, insurance companies and pharmacies for medication access issues.
- Document all patient interactions in appropriate systems and databases.
- Identify, develop, and implement additional quality improvement projects and processed including LEAN projects in cooperation with the AMA, PFC, and Specialty Pharmacy team and other stakeholders.
- Proficient use of MM systems including but not limited to: QS1, MiChart, Excel, Word, and Jabber systems.
- Apply the skills, principles and behaviors of the Michigan Expectations Model and demonstrate personal leadership and responsibility.
- Implement cross coverage when possible.
- Position is Hybrid (Majority of position remote with required onsite shifts determined by leadership).
- Other duties as assigned.
This position will be providing support to TC General GI Clinic.
For more information about the UMHS Department of Pharmacy Services, see our annual report at
Mission Statement
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.
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
Required Qualifications*
High school diploma or an equivalent combination of education and experience is necessary. Ability to follow oral and written instructions, prioritize with accuracy and dependability. Fluency in reading, writing and speaking English. Strong communication skills, professionalism, ability to work well with members of an interdisciplinary team, and ability to provide service excellence are also required.
Desired Qualifications*
- Minimum of one year pharmacy technician experience in an outpatient or retail pharmacy setting and completion of a Pharmacy Technician training program is highly desirable.
- Demonstrated record of excellence with direct patient interaction, collaboration with an interdisciplinary team, insurance claim adjudication, prior authorization facilitation, and prescription processing in a retail pharmacy setting is also highly desired.
- Pharmacy Technician Licensure is desired but not required.
Work Schedule
This is a day shift position, Monday- Friday.
Background Screening
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.
Application Deadline
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.