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Pharmacy Patient Advocate
<h2>Overview </h2> <p> </p> <p><strong></strong></p> <p><strong>YOUR PASSION, ACTIONS & FOCUS is our Strength</strong></p> <p><strong>Become one of our Contributors</strong></p> <p><strong>Join the Caretria Team!</strong></p> <p> </p> <p> </p> <p>The Pharmacy 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.</p> <h2>Responsibilities</h2> <p><strong><u>KEY RESPONSIBILITIES: </u></strong></p> <ul> <li>Review and process patients’ enrollment forms to the Patient Assistance Program (PAP)</li> <li>Assist patients on the phone with PAP program enrollment by verifying the pre-screening and qualifying tasks.</li> <li>Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process</li> <li>Schedule treatments to be sent to the patient or patient’s healthcare provider</li> <li>Support inbound and outbound phone lines for the PAP program</li> <li>Communicate daily with patient/authorized representatives on eligibility based on PAP criteria and healthcare providers to manage expectations.</li> <li>Contact patient/authorized representative to determine supplementary information needed to enroll into the manufacturer’s PAP program.</li> <li>Prioritize workload to ensure patients’ enrollments are processed within specified timeframe</li> <li>Explain the PAP program and services to patients, authorized representatives, healthcare providers and physician office staff.</li> <li>Respond to program inquiries from patients, authorized representatives, healthcare providers, patient advocates, and caregivers.</li> <li>Report adverse events/product complaint inquires received in accordance with standard operating procedures and current good manufacturer practices.</li> <li>Execute day-to-day operations specific to the assigned program(s).</li> <li>Always maintain patient confidentiality.</li> </ul> <p><strong><em>The above duties are meant to be representative of the position and not all inclusive.</em></strong></p> <h2>Qualifications</h2> <p><strong><u>MINIMUM JOB REQUIREMENTS</u>:</strong></p> <ul> <li>High school diploma or equivalent</li> <li>Kentucky Pharmacy Technician Registration</li> <li>Kentucky requires a licensed pharmacy technician to be over the age of 18.</li> <li>Two (2) years of work experience in customer service or customer focused healthcare role</li> <li>One (1) year of work experience in a HUB service or call center environment.</li> <li>Strong attention to detail and accuracy in data entry </li> <li>Experience with insurance and benefit investigations; knowledge of U.S. Private and Government payers</li> <li>Must have proven ability to provide consistently high-quality of service</li> </ul> <p><strong><u> </u></strong></p> <p><strong><u>PREFERRED EDUCATION AND EXPERIENCE</u></strong><strong>:</strong></p> <ul> <li>Education: Associate degree or completion of technical school training in healthcare, pharmacy or a related field</li> <li>Experience:</li> <li>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</li> <li>Experience with HIPAA regulations and privacy standards </li> <li>Certifications: National Pharmacy Certification (PTCB, ExCPT) preferred</li> <li>Language Skills: Bilingual proficiency in English and Spanish strongly preferred </li> <li>Prior experience in patient assistance programs and/or benefit verification processes</li> </ul> <p><strong><u>KNOWLEDGE, SKILLS & ABILITIES</u>:</strong></p> <ul> <li>Demonstrated empathy and compassion</li> <li>Excellent verbal and written communication skills</li> <li>Excellent organization skills and detail oriented</li> <li>Balance multiple priorities to meet expected response deadlines</li> <li>Adaptable, flexible and readily adjust to changing situations</li> <li>Ability to work independently and as a member of a team</li> <li>Ability to comprehend and apply basic math principles</li> <li>Ability to apply logical thinking when evaluating practical problems</li> <li>Ability to present information and respond to questions from stakeholders</li> <li>Ability to interact with a diverse group</li> <li>Ability to listen and demonstrate a high degree of empathy</li> <li>Demonstrated computer skills includes Microsoft Word, Excel, and Outlook</li> <li>Display tact and diplomacy in response to unfavorable or negative situations</li> <li>Demonstrated sensitivity and understanding when speaking with patients</li> <li>Demonstrated passion for speaking with people in an outgoing way</li> </ul> <p><strong><u>PHYSICAL REQUIREMENTS</u>:</strong></p> <ul> <li>Location of job activities Remote, Hybrid or onsite; geographic location</li> <li>Extensive manual dexterity (keyboarding, mouse, phone)</li> <li>Constant use of phone for communication</li> <li>Noise and/or vibrations exposure</li> <li>Frequently reach (overhead), handle, and feel with hands and arms</li> <li>Sit for prolonged periods of time</li> <li>Occasionally stoop, kneel, and crouch</li> <li>Occasionally lift, carry, and move up to 25 pounds</li> </ul> <p> </p> <p>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p> <p> </p> <p>The expected base pay range for this position is $19–$24 per hour. The actual compensation for the position may vary based on market differences and on factors such as skills, experience, qualifications and can vary based on location and/or work schedule. In addition to base pay, CareTria offers a comprehensive benefits package. Full-Time benefits include access to health, dental, and vision insurance; retirement plan options; paid time off; paid parental leave; employee assistance programs; and other perks. Eligible employees may also have access to performance bonuses.</p> <p>CareTria is an Equal Opportunity Employer.</p>