Enrollment Benefits Advocate
4 days ago
We are seeking a highly skilled Enrollment Benefits Advocate to join our team at Virtual Employee Services (F). As a key member of our organization, you will play a vital role in supporting the annual enrollment process for patients accessing coverage for their prescribed medications.
Key Responsibilities:
- Review and process patient enrollment forms to the Patient Assistance Program (PAP)
- Assist patients on the phone with PAP program enrollment by verifying pre-screening and qualifying tasks
- Notify patients and healthcare providers of approvals, denials, and next steps needed to continue the enrollment process
- Schedule treatments to be sent to patients or healthcare providers
- Support inbound and outbound phone lines for the PAP program
- Communicate daily with patients/authorized representatives on eligibility based on PAP criteria and healthcare providers to manage expectations
- Contact patients/authorized representatives to determine supplementary information needed to enroll into the manufacturers PAP program
- Prioritize workload to ensure patient 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 inquiries 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
Requirements:
- High school diploma or equivalent
- Proven ability to provide consistently high-quality service
Preferred Qualifications:
- 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, including 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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