Overview:
YOUR PASSION, ACTIONS & FOCUS is our Strength
Become one of our Contributors
Join the KnipperHEALTH Team!
KnipperHealth is a highly profitable, rapidly growing company that is competitively unique and nimble in service solutions. We offer incredibly competitive pay and benefits that start on your first day of employment.
* Things you can expect within your first 90 days:
* Zero time waiting for benefits
* Welcoming team with a great culture
* Classroom and on-the-job training
* 30/60/90 check-ins with leadership team
* Educational Assistance Opportunities
* Toll allowance for hourly positions
* Interested in starting a career in pharmacy with Knipper Health? Ask us about our company-sponsored Pharmacy Technician programs to become licensed in your state.
POSITION SUMMARY:
The Patient Advocate supports the enrollment process and patients in accessing coverage for their prescribed medications through inbound and outbound telephone support, as well as administrative functions.
Responsibilities:
POSITION RESPONSIBILITIES:
* Review and process patients' enrollment forms to the Patient Assistance Program (PAP)
* Assist patients on the phone with PAP program enrollment by verifying the pre-screening and qualifying tasks.
* Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process
* Schedule treatments to be sent to the patient or patient's healthcare provider
* Support inbound and outbound phone lines for the PAP program
* Communicate daily with patient/authorized representative on eligibility based on PAP criteria and healthcare providers to manage expectations.
* Contact patient/authorized representative to determine supplementary information needed to enroll into the manufacturer's PAP program.
* Prioritize workload to ensure patients' enrollments are processed within specified timeframe
* Explain the PAP program and services to patients, authorized representatives, healthcare providers and physician's office staff.
* Respond to program inquiries from patients, authorized representatives, healthcare providers, patient advocates and caregivers.
* Report adverse events/product complaint inquires received in accordance with standard operating procedures and current good manufacturer practices.
* Execute day-to-day operations specific to the assigned program(s).
* Maintain patient confidentiality at all times.
The above duties are meant to be representative of the position and not all-inclusive.
Qualifications:
REQUIRED EDUCATION AND EXPERIENCE:
* High school diploma or equivalent
* Two (2) years of work experience in a customer service or customer focused role
* One (1) year of work experience in a call center environment.
* Experience with insurance and benefit investigations; knowledge of U.S. Private and Government payers
* Must have proven ability to provide consistently high-quality of service
PREFERRED EDUCATION AND EXPERIENCE:
* Associate Degree or technical school training in a related field
* Two (2) years of work experience in pharmacy, managed care, Medicaid and/or Medicare organizations, pharmaceutical and/or biotech manufacturer, insurance, medical office, or related field
* Experience with HIPAA and patient services
* Bi-lingual, English and Spanish
KNOWLEDGE, SKILLS & ABILITIES:
* Demonstrated empathy and compassion
* Excellent verbal and written communication skills
* Excellent organization skills and detail oriented
* Balance multiple priorities to meet expected response deadlines
* Adaptable, flexible and readily adjust to changing situations
* Ability to work independently and as a member of a team
* Ability to comprehend and apply basic math principles
* Ability to apply logical thinking when evaluating practical problems
* Ability to present information and respond to questions from stakeholders
* Ability to interact with a diverse group
* Ability to listen and demonstrate a high degree of empathy
* Demonstrated computer skills includes Microsoft Word, Excel, and Outlook
* Display tact and diplomacy in response to unfavorable or negative situations
* Demonstrated sensitivity and understanding when speaking with patients
* Demonstrated passion for speaking with people in an outgoing way
PHYSICAL REQUIREMENTS:
* Location of job activities 100% inside
* Extensive manual dexterity (keyboarding, mouse, phone)
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