Our client is a national leader in the Specialty Pharmacy Space. They are currently searching for Patient Financial Coordinators to join their team.

JOB SUMMARY: Responsible for assisting patients in managing their out-of-pocket costs, and working with patients who are under insured needing help via assistance programs or Pharmaceutical Manufacturer programs.

ESSENTIAL FUNCTIONS:

• Work directly with patients to negotiate co-payment arrangements.
• Retrieve method of payment from patient for co-pay and notate appropriate systems accordingly.
• Understand and help coordinate assistance via Pharmaceutical Manufacturer programs and /or foundations for patients with little coverage, no coverage or those that we cannot offer internal assistance by referring them to the manufacturer.
• Stay abreast and adhere to Federal, State, and contractual regulations regarding co-pay assistance. Act as the liaison between Billing, Patient Care Coordinators, and Collection departments to assist in resolving financial assistance related to prescription refills.
• Update patient information and software systems to accurately reflect the outcome of negotiations.
• Respond in a timely manner to all assistance inquiries by patients, and other departments.
• Stay updated with foundation and manufacturer programs that relate to the disease classes that we service.
• Attend departmental and other meetings as scheduled.
• Prepare financial reports as requested, and submit to the appropriate Manager.
• Create and maintain tracking programs for reporting financial assistance as well as manufacturer assistance transfers as directed.
• Update sales personnel as to assistance resolutions allowing them to update MD offices.
• Other duties as defined by Manager.

QUALIFICATIONS & ABILITIES:

• Three years of healthcare experience
• Three years of Verification and/or financials, preferably in a Specialty Pharmacy.
• Must have excellent negotiation skills along with a caring, compassionate attitude.
• Must have the ability to work cooperatively, and be a liaison between departments when needed.
• Must have excellent verbal and written communication skills.
• Must have a professional image.

REQUIRED EDUCATION/TRAINING AND/OR PROFESSIONAL EXPERIENCE:

• High school diploma or equivalent
• Basic math skills
• Understanding of insurance coverage gaps