Patient Assistance Representative - Montrose

Legacy Community Health•Houston, TX

1d•Onsite

About The Position

The Patient Assistance Representative helps eligible Legacy clients access medications and medical coverage through programs supported by the Ryan White Grant and manufacturer assistance programs. The role supports the AIDS Drug Assistance Program (ADAP), Local Pharmacy Assistance Program (LPAP), and Emergency Financial Assistance (EFA), providing compassionate guidance as clients navigate program requirements and maintain access to treatment. The representative meets with eligible clients to collect enrollment documentation, processes applications or payments, maintains accurate enrollment records, conducts regular follow-up, and documents patient assistance activities in applicable electronic records. The position also supports accurate grant reporting through data validation, month-end reconciliation, and assigned reviews and audits. This is a clinic-based role at Legacy Montrose in Houston, Texas, with a rotating schedule.

Requirements

High school diploma.
At least 1 year of healthcare experience, or at least 3 years of customer service experience, preferably in healthcare.
Insurance and/or COBRA knowledge.
Proficient written and verbal communication skills.
Knowledge of MS Excel and MS Word.

Nice To Haves

Knowledge of healthcare terminology, HIV disease, and medications used to treat HIV and associated illnesses.

Responsibilities

Demonstrate understanding of Ryan White Grant programs and support patients with medications and health insurance assistance appropriate to the role.
Support the ADAP, LPAP, and EFA programs.
Meet with eligible clients to obtain the appropriate documentation for enrollment.
Understand program requirements and process appropriate applications or payments in a timely manner.
Maintain a current and accurate list of people enrolled in the program.
Communicate routinely with identified clients and document contacts appropriately.
Complete monthly calls to ensure client engagement and continued eligibility.
Monitor incoming requests and take appropriate, timely action.
Document patient care activities accurately, comprehensively, and promptly in applicable electronic records, including Centricity, Pioneer, ARIES, and the Excel log as appropriate.
Validate required data points in a timely manner to support grant standards.
Complete month-end report reconciliation and ensure encounters are reported accurately.
Identify concerns and share them with appropriate service providers using established documentation processes.
Perform reviews and audits as assigned to support accurate reporting.
Collaborate with peers, colleagues, and care providers while maintaining positive working relationships.
Participate in special projects as needed.
Perform other duties as assigned.