Specialty Pharmacy Patient Financial Counselor providing financial advocacy for patients' specialty medication needs. Requires coordination with insurance providers and excellent customer service skills.
Responsibilities
Responsible for acting as a financial advocate for patients regarding access to specialty prescription medications.
Securing authorization for the medication through the patient's prescription insurance.
Seeking copay assistance options for patients and seeking free drug from manufacturer programs for uninsured and underinsured patients.
Provides excellent customer service to communicate prescription costs and insurance requirements with patients.
Follows up with insurance companies on denials and insurance inquiries as needed to resolve the account.
Seeks out copay assistance for specialty prescriptions and applies on behalf of the patient when possible.
Communicates effectively with pharmacists and clinic staff regarding insurance issues.
Requirements
High School Graduate plus 3-year of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions.
OR Associates Degree in a related field of study from an accredited college or university plus 1-year of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions.
Must be able to type 45 wpm.
1 or more years of experience using Microsoft Word, Excel or a related computer program.
Benefits
no weekend commitment
Two day hybrid work schedule option is available after initial training is complete
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