Enrollment - Benefits Advocate

1 month ago

Louisville, United States Virtual Employee Services (F) Full time
Job DescriptionJob Description

WE ARE LOOKING FOR ENROLLMENT ADVOCATES

This is a Hybrid-Remote position Pay-rate: $17.00 / hour.

The Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support, as well as administrative functions. This role is a seasonal call center position. Schedules are flexible. Training is onsite in our call center. Work hours range from 8am to 8pm, Monday through Friday.

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.

REQUIRED EDUCATION AND EXPERIENCE:

  • High school diploma or equivalent

  • Must have proven ability to provide consistently high-quality of service

PREFERRED EDUCATION AND EXPERIENCE:

  • Experience with insurance and benefit investigations; knowledge of U.S. Private and Government payers

  • 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

  • Six (6) months of work experience in a call center environment.

  • Experience with HIPAA and patient services

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

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