Patient Advocate

Knipper HEALTH

3d

About The Position

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.

Requirements

• 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

Nice To Haves

• 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

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED