Patient Care Advocate, Closed Door Facility

Job Summary

As a Patient Care Advocate, you will consistently build relationships with patients and their providers by exceeding their needs. Patient Care Advocates will assess patient's insurance coverage, handle all appropriate prior authorization paperwork and then assist patients in receiving any and all applicable financial assistance. Patient Care Advocates will work with patients to ensure their understanding of the medication that has been prescribed for them and refer them to the correct source (i.e. pharmacist or provider) if further instruction is necessary.

Job Description

Experience Required: 6 months to 1 year
Education Desired: High school diploma or equivalent plus 18 months + of additional training
Certification or Licensing Required: Eligible to obtain registration as pharmacy technician with the applicable state board of pharmacy
Travel Required: Regional - Daily, Less than 10%
Lifting Requirement: Up to 10 pounds

Job Responsibilities

• Enter patient demographics, prescription information, and insurance data for order processing.
• Verification of patient’s insurance information and assistance with prior authorizations.
• Contact insurance carriers on the patient's behalf.
• Assist patient with enrollment into copay assistance programs.
• Demonstrate adherence to all company, state, and federal policies, laws and regulations including HIPAA.
• Maintain a neat and clean work environment.
• Have knowledge of all appropriate service and business metrics.
• Assist in the execution of all company initiatives and programs.
• Contact physician office if necessary.
• Report errors, omissions, and incidents to pharmacist.
• Execute Medication Therapy Management for the company through competency in MTM platforms.
• Maintain productivity rates and meet quality expectations as determined by leadership.