Patient Access Advocate

EVERSANA•Chesterfield, MO

1d•$26 - $38•Hybrid

About The Position

The Case Manager / Patient Support Navigator is a vital part of the front-line patient and caregiver support. The CM-PSN acts as a Social Determinants of Health (SDOH) resource for patients and family members throughout their patient assistance journey. The CM-PSN provides patient-centered support, acts as liaison between patients, caregivers, medical professionals, internal and external matrix partners.

Requirements

Bachelor’s Degree and 5 years’ experience in healthcare practice management or patient services setting.
Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.
Excellent oral, written, and interpersonal communication skills.
Ability to multitask.
Ability to work independently and function as a team player.
Ability to work in a fast paced, metric driven environment, while remaining patient minded.
Ability to clearly and consistently demonstrate compassion and empathy.
Excellent attendance is a key success driver for this role
Compliance Wire Online Training – at least 90% on-time completion
Professional, positive, ethical, and responsible behavior
Collaboration, proactive, and effective communication
Ability to self-manage, multitask and problem solve
Proficient computer skills
Demonstrate cultural beliefs

Nice To Haves

Patient support and access with call center experience.
Patient assistance, reimbursement and/or oncology experience.
Medical coding, coverage, policy, and payment experience strongly preferred.

Responsibilities

Assist patients/caregivers as appropriate to function as a patient advocate, educator, and single point of contact for patients, and caregivers.
Field incoming phone calls from patients, caregivers, and providers; triage calls and route to the appropriate team for further action if applicable.
Provide scripted information on how patients can access reliable sources of information through various resources available.
Assess patient’s needs upon initial welcome call and through navigation, matching the patient’s needs with appropriate resources and support within program offerings.
Provide newly registered patients with a welcome call including patient support materials and resources.
Adhere to all appropriate compliance standards outlined in business rules, policies, and SOPs.
Assess patient barriers based on SDOH which include factors such as, but not limited to, socioeconomic status, education, housing, transportation, food, physical environment, employment, and social support networks, as well as access to health care. Refer patients to aligned resources within program service offerings.
Identify patients closest SDOH resource outlet and assist in scheduling to obtain available resources.
Receive incoming data related to patient support programs such as enrollment forms, insurance cards for benefits investigations for review, save related documents within the patient database, triage, and route data to the appropriate department or team member as applicable.
Conduct benefit investigation and prior authorization with payers.
Provide updates and partner with all team members to ensure patients are served in a timely manner.
Participate and support multiple ongoing department projects.
Ensure patient centered excellence in supporting all internal and external stakeholders involved in the patient journey.
Other tasks and projects as assigned client inquiries, exceptions, management mailbox, reconciliation reports, and workforce functions.
All other duties as assigned.
Learn, understand, and follow all company and client policies and procedures.
Accept being accountable and responsible in work practices and expectations. Delivers what is promised.
Foster a collaborative, team-oriented attitude. Communicates effectively with others with clarity and transparency.
Use innovative critical and creative thinking to evaluate and solve work and customer issues.
Seek assistance in solving work problems through collaboration and information seeking.
Maintain in office performance & quality levels and schedule adherence
Agree to and sign the Hybrid Remote Work policy