Pharmacy Patient Advocate
US
KnippeRx Careers
Req #: 6742
Type: Regular Hire Full-Time
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Overview: The Pharmacy 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. Pay Range: $17.00 - $24.00 based on experience and qualifications Current current work schedules based on EST: * 8:30 AM - 5:00 PM * 9:00 AM - 5:30 PM * 10:00 AM - 6:30 PM * 11:30 AM - 8:00 PM 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 representatives 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 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). * Always maintain patient confidentiality. The above duties are meant to be representative of the position and not all inclusive. Qualifications: MINIMUM JOB REQUIREMENTS: * High school diploma or equivalent * Kentucky Pharmacy Technician Registration * Kentucky requires a licensed pharmacy technician to be over the age of 18. * Two (2) years of work experience in customer service or customer focused healthcare role * One (1) year of work experience in a HUB service or call center environment. * Strong attention to detail and accuracy in data entry * 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: * Education: Associate degree or completion of technical school training in healthcare, pharmacy or a related field * Experience: * 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 regulations and privacy standards * Certifications: National Pharmacy Certification (PTCB, ExCPT) preferred * Language Skills: * Bilingual proficiency in English and Spanish strongly preferred * Prior experience in patient assistance programs and/or benefit verification processes 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 Remote, Hybrid or onsite; geographic location * Extensive manual dexterity (keyboarding, mouse, phone) * Constant use of phone for communication * Noise and/or vibrations exposure * Frequently reach (overhead), handle, and feel with hands and arms * Sit for prolonged periods of time * Occasionally stoop, kneel, and crouch * Occasionally lift, carry, and move up to 25 pounds Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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