Pharmacy Revenue Cycle Technician Specialist

Henry Ford Health • Detroit, MI

4d

About The Position

The Pharmacy Infusion Access Hub Technician ensures patient access to infusion and injectable medications by managing insurance benefits, prior authorization requirements, payer formulary reviews, claims follow-up, and affordability barriers. The role coordinates with pharmacists, providers, care teams, insurance companies, patient access teams, and revenue cycle partners to support timely medication access, accurate documentation, and appropriate reimbursement.

Requirements

• High school diploma or GED equivalent.
• At least two years of experience as an inpatient pharmacy technician for an inpatient setting, or two years of pharmacy technician experience for all other settings.
• PC skills as needed to perform assigned job functions.
• Strong verbal and written communication skills.
• Availability for on-call system support.
• Highly analytical ability to solve complex technical problems.
• Ability to work designated shifts, including weekends and holidays.
• Ability to function in a fast-paced environment with established time constraints.
• Flexibility to adapt to a changing health care environment.
• Ability to effectively manage multiple projects.
• Valid State of Michigan pharmacy technician licensure.

Nice To Haves

• Two years of experience with automated pharmacy dispensing systems.

Responsibilities

• Verify insurance coverage and identify prior authorization requirements with precision and attention to detail.
• Review medication benefit information and support formulary and billing code accuracy.
• Gather and organize medical-record documentation to support claims and authorization processes.
• Monitor authorization and claims status to ensure timely resolution and patient access.
• Manage appeals and process denied claims in accordance with payer requirements.
• Resolve barriers that may delay patient care through systematic problem-solving and escalation procedures.
• Maintain compliance with payer, institutional, and regulatory requirements.
• Identify and implement workflow improvement initiatives within the infusion access hub to enhance operational efficiency and accuracy.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED