Retail Financial Counselor

• Obtain insurance prior authorizations and overrides as needed for all oral and self-administered medications prescribed by Illinois CancerCare providers through third-party online portals, forms, and phone calls.
• Document insurance approvals, enter in notes and communicate with nursing and pharmacists if the insurance requires prescriptions be sent to a specific specialty pharmacy.
• Call insurance companies to troubleshoot issues in processing scripts.
• Call outside pharmacies as requested by patients, nursing, or pharmacists to help track down patient medications/ assist with patient delivery issues.
• Sign all patients with commercial insurance on specialty medications up for manufacturer copay cards if available.
• Meet with patients to help screen all patients receiving specialty medications from a pharmacy for financial need. Apply for grants and manufacturer patient assistance programs (free drug) as available.
• Screen and sign up retail pharmacy patients for Illinois CancerCare financial hardship program and obtain all needed documentation.
• Document assistance obtained for patients each month.
• Track and follow up on patients with approved authorizations and assistance, renewing as needed.
• Maintain sample medication inventory, requesting samples from pharmaceutical representatives as needed and helping coordinate the distribution of samples to patients in need.
• Function as a liaison with other departments as needed (Including nursing and the business office).
• Work with patients to understand Medicare Part D and help them through open enrollment process (without steering to a specific plan).
• Performs other related duties as assigned/requested by Pharmacy Management.
• Additional duties:

• Work additional hours when requested.
• Attend required meetings and participate in committees as requested.
• Report to work area on time and remain available throughout the workday.
• Communicate to outside facilities in a courteous, helpful manner.
• Maintain patient confidentiality.
• Observes OSHA and facility policies and guidelines.
• Clean pharmacy equipment, utensils, and work areas.

• Requires corrected vision and hearing to normal range.
• Ability to work on a desktop computer and telephone for extended periods of time.
• May require working under stressful conditions or working irregular hours.

SAFETY CONSIDERATIONS/TYPICAL WORKING CONDITIONS

• Conditions are common to working in a medical office.
• Safety policies and good health practices are to be understood and observed.
• Frequent interaction with patients/caregivers, staff, and physicians.
• Occasional face to face meetings with patients.