Patient Advocate

KnippeRx; Jeffersontown (KY); On-site; USD 35,000 - 55,000; Full time

Job summary

Une entreprise dynamique dans le secteur de la santé recherche un Patient Advocate pour soutenir l'inscription des patients et faciliter l'accès à leurs médicaments. Le candidat idéal travaillera en étroite collaboration avec les patients et les proveedores de soins, assurant ainsi un service de haute qualité et une communication efficace tout en respectant la confidentialité.

Qualifications

• 2 ans d'expérience en service client requis.
• Connaissance des payeurs privés et gouvernementaux.
• Expérience dans un environnement d'appel centraux.

Responsibilities

• Supporter le processus d'inscription des patients aux programmes.
• Vérifier les conditions d'éligibilité des patients.
• Répondre aux demandes des patients et soins.

Skills

Empathy

Communication

Organization

Problem Solving

Education

High school diploma or equivalent

Associate degree or technical training

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Overview

YOUR PASSION, ACTIONS & FOCUS is our Strength

Become one of our Contributors

Join the KnipperHEALTH Team!

The Patient Advocate supports the enrollment process and assists 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 for the Patient Assistance Program (PAP).
• Assist patients on the phone with PAP program enrollment by verifying pre-screening and qualifying tasks.
• Notify patients and healthcare providers of approvals, denials, and next steps needed to continue the enrollment process.
• Schedule treatments to be sent to the patient or healthcare provider.
• Support inbound and outbound phone lines for the PAP program.
• Communicate daily with patients/authorized representatives and healthcare providers regarding eligibility based on PAP criteria to manage expectations.
• Contact patients/authorized representatives to gather supplementary information needed for enrollment into the manufacturer’s PAP program.
• Prioritize workload to ensure patient enrollments are processed within the specified timeframe.
• Explain the PAP program and services to patients, authorized representatives, healthcare providers, and staff.
• Respond to inquiries from patients, representatives, providers, and caregivers.
• Report adverse events or product complaints following SOPs and good manufacturing practices.
• Execute day-to-day operations specific to assigned programs.
• 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 years of customer service experience; one year in a call center environment; experience with insurance and benefit investigations; knowledge of U.S. private and government payers; proven ability to provide high-quality service.
• PREFERRED EDUCATION AND EXPERIENCE: Associate degree or technical training; two years in pharmacy, managed care, Medicaid/Medicare, pharmaceutical, biotech, insurance, or medical office; experience with HIPAA and patient services; bilingual in English and Spanish.

Knowledge, Skills & Abilities

• Demonstrated empathy and compassion.
• Excellent communication, organization, and detail-oriented skills.
• Ability to manage multiple priorities and meet deadlines.
• Flexible, adaptable, and able to work independently or in a team.
• Basic math, logical thinking, and problem-solving skills.
• Effective presentation and stakeholder communication skills.
• Ability to interact with diverse groups and demonstrate high empathy and sensitivity.
• Proficient in Microsoft Word, Excel, and Outlook.
• Diplomacy and tact in handling difficult situations.
• Passion for engaging with people in an outgoing manner.

Physical Requirements

• 100% inside location.
• Manual dexterity for keyboarding, mouse use, and phone handling.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.