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Enrollment
4 months ago
Job 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:
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Review and process patients enrollment forms to the Patient Assistance Program (PAP)
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Assist patients on the phone with PAP program enrollment by verifying the pre-screening and qualifying tasks.
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Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process
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Schedule treatments to be sent to the patient or patients healthcare provider
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Support inbound and outbound phone lines for the PAP program
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Communicate daily with patient/authorized representative on eligibility based on PAP criteria and healthcare providers to manage expectations.
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Contact patient/authorized representative to determine supplementary information needed to enroll into the manufacturers PAP program.
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Prioritize workload to ensure patients enrollments are processed within specified timeframe
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Explain the PAP program and services to patients, authorized representatives, healthcare providers and physicians office staff.
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Respond to program inquiries from patients, authorized representatives, healthcare providers, patient advocates and caregivers.
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Report adverse events/product complaint inquires received in accordance with standard operating procedures and current good manufacturer practices.
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Execute day-to-day operations specific to the assigned program(s).
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Maintain patient confidentiality at all times.
REQUIRED EDUCATION AND EXPERIENCE:
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High school diploma or equivalent
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Must have proven ability to provide consistently high-quality of service
PREFERRED EDUCATION AND EXPERIENCE:
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Experience with insurance and benefit investigations; knowledge of U.S. Private and Government payers
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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
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Six (6) months of work experience in a call center environment.
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Experience with HIPAA and patient services
KNOWLEDGE, SKILLS & ABILITIES:
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Demonstrated empathy and compassion
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Excellent verbal and written communication skills
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Excellent organization skills and detail oriented
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Balance multiple priorities to meet expected response deadlines
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Adaptable, flexible and readily adjust to changing situations
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Ability to work independently and as a member of a team
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Ability to comprehend and apply basic math principles
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Ability to apply logical thinking when evaluating practical problems
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Ability to present information and respond to questions from stakeholders
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Ability to interact with a diverse group
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Ability to listen and demonstrate a high degree of empathy
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Demonstrated computer skills includes Microsoft Word, Excel, and Outlook
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Display tact and diplomacy in response to unfavorable or negative situations
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Demonstrated sensitivity and understanding when speaking with patients
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Demonstrated passion for speaking with people in an outgoing way
PHYSICAL REQUIREMENTS:
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Location of job activities 100% inside
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Extensive manual dexterity (keyboarding, mouse, phone)
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Constant use of phone for communication
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Noise and/or vibrations exposure
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Frequently reach (overhead), handle, and feel with hands and arms
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Sit for prolonged periods of time
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Occasionally stoop, kneel, and crouch
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Occasionally lift, carry, and move up to 25 pounds