Pharmacy Patient Advocate
US
KnippeRx Careers
Req #: 6773
Type: Regular Hire Full-Time
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Overview: YOUR PASSION, ACTIONS & FOCUS is our Strength Become one of our Contributors Join the CaretriaTeam! POSITION SUMMARY: 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. 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 health-care 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 health-care provider * Support inbound and outbound phone lines for the PAP program * Communicate daily with patient/authorized representative on eligibility based on PAP criteria and health-care 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 time-frame * 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, health-care 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) Reasonable accommodations may be made to enable individuals with disabilities to perform the essential The expected base pay range for this position is $19-$24 per hour. The actual compensation for the position may vary based on market differences and on factors such as skills, experience, qualifications and can vary based on location and/or work schedule. In addition to base pay, CareTria offers a comprehensive benefits package. Full-Time benefits include access to health, dental, and vision insurance; retirement plan options; paid time off; paid parental leave; employee assistance programs; and other perks. Eligible employees may also have access to performance bonuses. CareTria is an Equal Opportunity Employer.
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