Patient Advocate

Expion Health; United States; Remote; USD 42,000 - 65,000; Full time

Benefits offered by this job

100% remote, US-wide

Medical, dental & vision insurance

HSA & FSA options

401(k) with company match

Paid Time Off

Phone & internet allowance

Disability insurance

Job summary

Expion Health is seeking a Patient Advocate to guide members through copay assistance for specialty medications. You will identify programs, enroll members, and coordinate with providers and pharmacies to resolve issues with care and accuracy.

The role emphasizes HIPAA compliance, fast case progression, and clear, empathetic communication while maintaining precise documentation and meeting service standards. Remote work in the U.S. is supported.

Qualifications

• 2+ years of customer service experience in medical or pharmacy settings.
• Pharmacy Technician certification or equivalent pharmacy experience.
• Strong background in billing, claims processing, or benefit systems.
• Knowledge of medical and pharmacy benefit systems and copay programs.
• Familiarity with PBM/TPA operations.
• Proficiency with Microsoft Office for data analysis and reporting.

Responsibilities

• Find the right copay assistance program for each member.
• Guide members through enrollment with speed and accuracy.
• Serve as liaison between members, programs, providers, and pharmacies.
• Coordinate with providers to obtain and share necessary information.
• Educate members and providers on HelpScript services and enrollment details.
• Maintain accurate documentation of interactions and program status.
• Ensure HIPAA compliance in every interaction.
• Collaborate with internal teams to resolve inquiries quickly.
• Balance speed and care to meet performance metrics.

Skills

Customer service

Pharmacy billing

Medical claims

Benefit systems

HIPAA compliance

Communication

Education

High school diploma or GED

Associate or Bachelor's in healthcare or related field

Pharmacy Technician certification

Tools

Microsoft Office

Job description

HelpScript, an Expion Health company, makes specialty medications more affordable. Specialty therapies can carry significant out-of-pocket costs that put treatment out of reach. We connect members with manufacturer copay assistance programs, guide them through the enrollment process, and work alongside providers and pharmacies so members can start, and stay on, the medications they need.

The Role

We are looking for a Patient Advocate to be the knowledgeable, compassionate guide members rely on when navigating copay assistance for their specialty medications. This is a role for someone who can make a complicated process feel simple, keep many cases moving at once, and bring care to every member interaction. You'll identify the right manufacturer copay assistance program for each member, guide them through enrollment, and coordinate with providers, specialty pharmacies, and manufacturer representatives to resolve issues along the way. If you have a pharmacy or medical billing background, enjoy solving problems for people, and take pride in getting the details right, you'll feel right at home here.

What You'll Own

• Find the right program. Identify the appropriate manufacturer copay assistance program based on each member's eligible medication.
• Guide members through enrollment. Walk eligible members through the copay assistance application process and complete enrollment workflows with speed and accuracy.
• Be the connection point. Act as the liaison between members, copay assistance programs, providers, and pharmacies to resolve issues.
• Coordinate with providers. Obtain or provide necessary information and ensure appropriate billing procedures are followed.
• Educate and inform. Help members, providers, and pharmacies understand HelpScript services and copay assistance enrollment details.
• Keep accurate records. Maintain complete, accurate documentation of member interactions and program status.
• Protect member privacy. Ensure compliance with HIPAA and other privacy regulations in every interaction.
• Partner across teams. Collaborate with internal departments to resolve member inquiries quickly and accurately.
• Balance speed and care. Meet performance metrics and service standards while making sure every member feels supported and informed.

What We're Looking For

• High school diploma or GED required; associate or bachelor's degree in healthcare or a related field preferred.
• 2+ years of customer service experience, preferably in a medical or pharmacy setting.
• Pharmacy Technician certification or equivalent pharmacy experience.
• Strong background in pharmacy billing, medical claims processing, or benefit systems.
• Working knowledge of medical and pharmacy benefit systems and copay assistance programs.
• Familiarity with Third Party Administrator (TPA) or Pharmacy Benefit Manager (PBM) operations.
• Proficiency with Microsoft Office (Word, Excel, Outlook), including using Excel for data analysis and reporting.
• Strong organizational and documentation skills, with the ability to manage multiple cases and quick-turnaround deadlines.
• Excellent verbal, written, and active listening skills, with a clear and empathetic communication style.
• A high level of integrity and discretion, including a strong commitment to HIPAA compliance.
• Ability to work independently and collaboratively in a fast-paced, remote team environment.

Bonus Points For

• Experience with specialty medications or specialty pharmacy.
• Experience working across departments and with external clients or partners.
• Strong analytical and creative thinking skills, with sound independent judgment.
• A track record of adapting quickly to changing program criteria or workflows.
• An outgoing, customer-focused personality and a genuine drive to help people.

Why HelpScript, Why Now

Specialty medication costs can keep members from starting or staying on treatment. As a Patient Advocate, you won't just process enrollments; you'll directly reduce financial barriers, improve medication adherence, and shape the experience members have when they need help most. If helping people get the medications they need, without the financial stress, sounds like meaningful work, we want to talk.

Benefits & Perks

• 100% remote, work anywhere in the US
• Medical, dental & vision insurance
• HSA & FSA options
• Access to GLP-1 weight loss program
• Short & long-term disability
• Life Insurance and AD&D
• 401(k) with company match
• Paid Time Off
• Phone & internet allowance
• Town halls & direct access to executive leadership
• A company that is genuinely investing in AI, and in you!

Expion Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.