Patient Advocate

Expion Health; United States; A distancia; USD 45.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

100% remote

Medical, dental & vision

HSA & FSA options

401(k) with company match

Paid Time Off

Descripción de la vacante

HelpScript, an Expion Health company, 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 while ensuring privacy and accuracy.

Ideal candidates will have pharmacy or medical billing background, strong data skills, and the ability to manage multiple cases in a remote, fast-paced environment. This 100% remote position serves US members.

Formación

• 2+ years of customer service experience, preferably in medical/pharmacy settings.
• 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 programs.
• Experience with TPAs or PBMs operations.

Responsabilidades

• Identify the appropriate manufacturer copay assistance program for each member.
• Guide members through enrollment and complete enrollment workflows accurately.
• Coordinate with providers, pharmacies, and manufacturers to resolve issues.
• Obtain or provide information to ensure correct billing procedures.
• Educate members, providers, and pharmacies on services and enrollment details.
• Maintain complete documentation of member interactions and program status.
• Ensure HIPAA compliance in every interaction.
• Collaborate with internal teams to resolve inquiries quickly.

Conocimientos

Customer service

HIPAA compliance

Data analysis

Pharmacy billing

Communication

Educación

High school diploma or GED

Associate or bachelor’s degree in healthcare

Herramientas

Microsoft Office

Excel

Outlook

Descripción del empleo

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.