Job Description
Knipperhealth Team Member
Your passion, actions, and focus is our strength
Join the Knipperhealth Team!
KnipperHealth is a highly profitable, rapidly growing company that is competitively unique and nimble in service solutions. We offer incredibly competitive pay and benefits that start on your first day of employment.
- Things you can expect within your first 90 days:
- Zero time waiting for benefits
- Welcoming team with a great culture
- Classroom and on-the-job training
- 30/60/90 check-ins with leadership team
- Educational Assistance Opportunities
- Toll allowance for hourly positions
- Interested in starting a career in pharmacy with Knipper Health? Ask us about our company-sponsored Pharmacy Technician programs to become licensed in your state.
Position Summary:
The Patient Advocate supports the enrollment process and patients in accessing coverage for their prescribed medications through inbound and outbound telephone support, as well as administrative functions.
Responsibilities
Position Responsibilities:
- Review and process patients' enrollment forms to the Patient Assistance Program (PAP)
- Assist patients on the phone with PAP program enrollment by verifying the pre-screening and qualifying tasks.
- Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process.
- Schedule treatments to be sent to the patient or patients healthcare provider.
- Support inbound and outbound phone lines for the PAP program.
- Communicate daily with patient/authorized representative on eligibility based on PAP criteria and healthcare providers to manage expectations.
- Contact patient/authorized representative to determine supplementary information needed to enroll into the manufacturers PAP program.
- Prioritize workload to ensure patients enrollments are processed within specified timeframe.
- Explain the PAP program and services to patients, authorized representatives, healthcare providers and physicians office staff.
- Respond to program inquiries from patients, authorized representatives, healthcare providers, patient advocates and caregivers.
- Report adverse events/product complaint inquires received in accordance with standard operating procedures and current good manufacturer practices.
- Execute day-to-day operations specific to the assigned program(s).
- Maintain patient confidentiality at all times.
Qualifications
Required Education and Experience:
- High school diploma or equivalent
- Two (2) years of work experience in a customer service or customer focused role
- One (1) year of work experience in a call center environment.
- Experience with insurance and benefit investigations; knowledge of U.S. Private and Government payers
- Must have proven ability to provide consistently high-quality of service
Preferred Education and Experience:
- Associate Degree or technical school training in a related field
- Two (2) years of work experience in pharmacy, managed care, Medicaid and/or Medicare organizations, pharmaceutical and/or biotech manufacturer, insurance, medical office, or related field
- Experience with HIPAA and patient services
- Bi-lingual, English and Spanish
Knowledge, Skills & Abilities:
- Demonstrated empathy and compassion
- Excellent verbal and written communication skills
- Excellent organization skills and detail oriented
- Balance multiple priorities to meet expected response deadlines
- Adaptable, flexible and readily adjust to changing situations
- Ability to work independently and as a member of a team
- Ability to comprehend and apply basic math principles
- Ability to apply logical thinking when evaluating practical problems
- Ability to present information and respond to questions from stakeholders
- Ability to interact with a diverse group
- Ability to listen and demonstrate a high degree of empathy
- Demonstrated computer skills includes Microsoft Word, Excel, and Outlook
- Display tact and diplomacy in response to unfavorable or negative situations
- Demonstrated sensitivity and understanding when speaking with patients
- Demonstrated passion for speaking with people in an outgoing way
Physical Requirements:
- Location of job activities 100% inside
- Extensive manual dexterity (keyboarding, mouse, phone)
- Constant use of phone for communication
- Noise and/or vibrations exposure
- Frequently reach (overhead), handle, and feel with hands and arms
- Sit for prolonged periods of time
- Occasionally stoop, kneel, and crouch
- Occasionally lift, carry, and move up to 25 pounds
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Job Tags
Hourly pay, Part time, Work experience placement, Work at office, Flexible hours,