Pharmacy Revenue Cycle Technician Specialist

Henry-Ford-Health-2; Detroit (MI); On-site; USD 45,000 - 65,000; Full time

Job summary

Henry Ford Health in Detroit is seeking a Pharmacy Infusion Access Hub Technician to manage insurance benefits, prior authorizations, formulary reviews, and affordability barriers for infusion and injectable medications. This role collaborates with pharmacists, care teams, insurers, and revenue cycle partners to ensure timely access, accurate documentation, and proper reimbursement.

This position requires a high school diploma or GED, 2+ years as a pharmacy technician, and MI licensure, with

Qualifications

• Requires high school diploma or GED.
• 2+ years as inpatient pharmacy tech (or 2+ years as pharmacy tech in other settings).
• 2+ years of experience with automated pharmacy dispensing systems preferred.
• Strong verbal/written skills; on-call availability; highly analytical to solve complex problems.

Responsibilities

• Verifying insurance coverage and identifying prior authorization requirements with precision.
• Reviewing medication benefit information and supporting formulary and billing code accuracy.
• Gathering and organizing documentation from medical records to support claims and authorization processes.
• Monitoring authorization and claims status to ensure timely resolution and patient access.
• Managing appeals and processing denied claims in accordance with payer requirements; resolving barriers to patient care.
• Maintaining compliance with payer, institutional, and regulatory requirements.
• Identifying and implementing workflow improvement initiatives within the infusion access hub.

Skills

Verbal & written communication

Analytical thinking

PC skills

On-call availability

Education

High school diploma or GED

Tools

Automated pharmacy dispensing systems

Job description

• Full-time

Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.

Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

Job Description

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

Key responsibilities include:

• Verifying insurance coverage and identifying prior authorization requirements with precision and attention to detail
• Reviewing medication benefit information and supporting formulary and billing code accuracy
• Gathering and organizing documentation from medical records to support claims and authorization processes
• Monitoring authorization and claims status to ensure timely resolution and patient access
• Managing appeals and processing denied claims in accordance with payer requirements Resolving barriers that may delay patient care through systematic problem-solving and escalation procedures
• Maintaining compliance with payer, institutional, and regulatory requirements
• Identifying and implementing workflow improvement initiatives within the infusion access hub to enhance operational efficiency and accuracy

Qualifications

EDUCATION/EXPERIENCE REQUIRED:

• Requires high school diploma or G.E.D. equivalent.
• Requires at least two (2) years of experience as an inpatient pharmacy technician (for inpatient setting) OR two (2) years of experience as a pharmacy technician for all others.
• Two (2) years of experience with automated pharmacy dispensing systems preferred.
• PC skills as needed to perform job functions as assigned. Strong verbal/written 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 deal with ever-changing health care environment. Ability to effectively manage multiple projects.

CERTIFICATIONS/LICENSURES REQUIRED:

• Valid State of MI pharmacy technician licensure required.