Outreach Patient Advocate

TEKsystems•Tempe, AZ

1d•$21 - $21•Onsite

About The Position

The Outreach Patient Advocate serves as a liaison among members, healthcare providers, and prescription drug assistance programs. The role connects members with programs that may provide medications at no charge or at a discounted price. The administrator works with members and physicians to complete and submit manufacturer MAP/PAP applications, then coordinates with the PBM and dispensing pharmacy after a coverage determination so claims are processed appropriately and members receive their medication. This is a contract position based onsite in Tempe, Arizona. The listed pay range is $21.00 per hour. The position is described as entry level.

Requirements

Call center and customer service experience are required.
Customer service skills.
Outbound calling skills.
Basic experience with Microsoft Excel; denied claims will be received through Excel.

Nice To Haves

Experience in healthcare, pharmacy, or health insurance is a plus.

Responsibilities

Conduct patient and physician outreach and educate patients about alternate funding programs relevant to their benefits.
Provide patients and physicians with required paperwork and documentation, follow up with the appropriate manufacturer program, and determine patient eligibility.
Enter benefit overrides as applicable so the pharmacy can receive a paid claim after funding is secured.
Provide the dispensing pharmacy with necessary billing information once funding is approved.
Inform patients of program documentation requirements so refill applications or new applications can proceed.
Document patient contacts, patient information, and other related activities thoroughly in the case file.
Perform other duties as assigned by the Principal Enterprise Drug Product Solutions.