Pharmacy Patient Advocate Specialist
4 weeks ago
Under general supervision of a pharmacist, verifies insurance eligibility, benefits, verification, prior authorization, and researches denied services to ensure payments are processed on a timely basis. Acts as a liaison to ensure accurate processing of all claims. Enrolls patients in pharmacy services and ensures patients have timely access to medication and medication refills. Works with pharmacists to ensure appropriate medication therapy is selected and optimized to meet the patient?s needs.
Talent Pool: Allied Health
Responsibilities:
Performs benefits investigations on all patients receiving selected medications.
Obtains insurance prior authorizations or pre-certifications for insured patients
Coordinates with manufacturer assistance programs for uninsured or underinsured patients and coordinates manufacturer drug replacement (if applicable)
Acts as a liaison between the patient, clinics (if applicable), infusion centers (if applicable) and pharmacy.
Assists patients with copay assistance via manufacturer programs and grant foundations.
Interact with physicians, nurses, and other health care providers in a courteous and professional manner and display the highest level of customer service, attentiveness, and consideration possible in all situations
Utilize internally developed systems, commercial vendor software (to track patient eligibility, prescriptions, patient communications and program enrollment) and inpatient and outpatient clinical, scheduling, and financial systems as necessary (e.g. Cone Health Link - CHL).
Work collaboratively with care team to coordinate refill phone calls to patients and follow up on medication delivery.
Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays.
Works collaboratively with clinical pharmacists and care team to obtain clinical and financial information needed for program enrollment and prior authorization for insured and uninsured patients.
Qualifications:
EDUCATION:
Required: High school diploma or certificate of equivalency to include basic arithmetic, algebra, reading, and writing as well as some basic chemistry skills (ability to identify medications requiring specialized handling).
Preferred:
Associates Degree in Pharmacy Technology; Bachelors in medical or science field
EXPERIENCE:
Required: Three years of pharmacy technician work experience or three years prior authorization and/or copay assistance programs work experience or three years combined pharmacy technician/prior authorization and copay assistance work experience.
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
REQUIRED
Certified Pharmacy Tech (CPhT)
PREFERRED:
ASHP Billing & Reimbursement Certificate
-
Pharmacy Patient Advocate Specialist
4 weeks ago
Reidsville, United States Cone Health Full timeOverview Under general supervision of a pharmacist, verifies insurance eligibility, benefits, verification, prior authorization, and researches denied services to ensure payments are processed on a timely basis. Acts as a liaison to ensure accurate processing of all claims. Enrolls patients in pharmacy services and ensures patients have timely access to...
-
Pharmacy Patient Advocate Specialist
4 weeks ago
Reidsville, United States Cone Health Full timeUnder general supervision of a pharmacist, verifies insurance eligibility, benefits, verification, prior authorization, and researches denied services to ensure payments are processed on a timely basis. Acts as a liaison to ensure accurate processing of all claims. Enrolls patients in pharmacy services and ensures patients have timely access to medication...
-
Pharmacy Patient Advocate Specialist
4 weeks ago
Reidsville, United States Cone Health Employee Health & Wellness Full timeOverview Under general supervision of a pharmacist, verifies insurance eligibility, benefits, verification, prior authorization, and researches denied services to ensure payments are processed on a timely basis. Acts as a liaison to ensure accurate processing of all claims. Enrolls patients in pharmacy services and ensures patients have timely access...
-
Bilingual Pharmacy Technician
2 weeks ago
North Hollywood, United States Avita Pharmacy Full timeThe Bilingual Pharmacy Technician will support and assist Pharmacists with preparing and dispensing prescribed medications and providing patient care and education. This is a full-time position based in North Hollywood (9801 Coldware Canyon Ave) and the hours are Monday through Friday from 8:30am to 5:30pm.Great Work-Life Balance! No evenings or...
-
Pharmacy Services Specialist
5 days ago
Durham, North Carolina, 27707, Durham County, NC, United States Experis Full timeTitle: Pharmacy Service Specialist Location: Remote (Candidate from EST Time Zone is preferred) Duration: 6 months (Possibility of C2H) Pay Rate : $26/hr (On W2) We are looking for a “Pharmacy Service Specialist “to join one of our Fortune 500 clients. Job Responsbilties: Provides daily coordination of activities related to operations of pharmacy...
-
Certified Pharmacy Technician
2 weeks ago
North Charleston, United States Avita Pharmacy Full timeThe Pharmacy Technician will support and assist the Pharmacist-in-Charge with preparing and dispensing prescribed medications and providing patient care and education. This is a full-time position located in North Charleston, SC (5064 Rivers Ave.) and the work schedule is Monday through Friday 9am to 5pm.Great work-life balance. No evenings or weekends!About...
-
Pharmacy Intake Specialist II
1 week ago
North Chicago, United States PSG Global Solutions Careers Full timeApply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Pharmacy Intake Specialist II, working in Pharmaceuticals and Medical Products industry in 1 Waukegan Road, North Chicago, Illinois, 60064, United States. Job description:Completes the intake process of all applications...
-
Pharmacy Delivery Driver
2 days ago
North Babylon, United States DEER PARK PHARMACY Full time**ABOUT US** We are a locally-owned community pharmacy dedicated to providing personalized service across a range of common and specialty disease states. Our goal has always been to provide excellent patient care in a welcoming environment as well as helping patients and providers navigate the complexities of the healthcare system to access the vital...
-
Pharmacy Intake Specialist II
1 week ago
North Chicago, United States PSG Global Solutions Careers Full timeApply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Pharmacy Intake Specialist II, working in Pharmaceuticals and Medical Products industry in 1 Waukegan Road, North Chicago, Illinois, 60064, United States. Job description: Completes the intake process of all applications...
-
Pharmacy Technician I
6 days ago
North Cambridge, United States Cambridge Health Alliance Full timeLocation: CHA Cambridge Hospital Work Days: 8 hour shifts; various Category: Pharmacy Department: InPt Pharmacy Operations at CH Job Type: Per Diem On Call Work Shift: Various Shifts Hours/Week: 0.00 Union: No Union Name: Non UnionAt Cambridge Health Alliance (CHA), the inpatient pharmacy has the best of both worlds - an innovative academic environment...
-
Pharmacy Relationship Manager
2 days ago
North Little Rock, United States America's Pharmacy Group, LLC Full timeJob DescriptionJob DescriptionWhether you are working in a Pharmacy looking for additional income, an established healthcare sales professional, or looking to break into Medical Sales, Healthcare Marketing Group, LLC is a great opportunity for you.As a Pharmacy Relationship Manager, you will help drive the growth of our company through building and retaining...
-
Pharmacy Technician I
5 days ago
North Cambridge, MA, United States Cambridge Health Alliance Full timeLocation: CHA Cambridge Hospital Work Days: 8 hour shifts; various Category: Pharmacy Department: InPt Pharmacy Operations at CH Job Type: Per Diem On Call Work Shift: Various Shifts Hours/Week: 0.00 Union: No Union Name: Non Union At Cambridge Health Alliance (CHA), the inpatient pharmacy has the best of both worlds - an innovative academic environment...
-
Pharmacy Technician I
6 days ago
North Cambridge, MA, United States Cambridge Health Alliance Full timeLocation: CHA Cambridge Hospital Work Days: 8 hour shifts; various Category: Pharmacy Department: InPt Pharmacy Operations at CH Job Type: Per Diem On Call Work Shift: Various Shifts Hours/Week: 0.00 Union: No Union Name: Non Union At Cambridge Health Alliance (CHA), the inpatient pharmacy has the best of both worlds - an innovative academic environment...
-
Pharmacy Manager
1 week ago
NORTH BEND, United States Haggen Food & Pharmacy Full timeUp to $20,000 incentive to qualifed candidates Are you the Pharmacist who knows your patients by name? Do they ask for you because you build meaningful relationships with them? Do you want to practice in a progressive setting where you can make an im Pharmacy, Manager, Pharmacist, Patient Care, Grocery, Healthcare
-
Pharmacy Manager
1 day ago
NORTH BEND, United States Haggen Food & Pharmacy Full timeUp to $20,000 incentive to qualifed candidates Are you the Pharmacist who knows your patients by name? Do they ask for you because you build meaningful relationships with them? Do you want to practice in a progressive setting where you can make an im Pharmacy, Manager, Pharmacist, Patient Care, Grocery, Healthcare
-
Patient Financial Advocate
3 weeks ago
North Providence, United States CharterCARE Health Partners Full timeSummary: The Patient Financial Advocate's role begins with a patient financial interview, which includes a review of the hospital charges, the patient's insurance status and his/her, financial resources. If the patient has insurance, the advocate verifies coverage, calculates co-pays and deductibles, and collects those fees at time of service. If the...
-
Patient Financial Advocate
2 weeks ago
North Providence, United States CharterCARE Health Partners Full time**Summary**: The Patient Financial Advocate's role begins with a patient financial interview, which includes a review of the hospital charges, the patient's insurance status and his/her, financial resources. If the patient has insurance, the advocate verifies coverage, calculates co-pays and deductibles, and collects those fees at time of service. If the...
-
Pharmacy Technician
3 weeks ago
North Miami Beach, United States AIDS Healthcare Foundation Full timeWHO WE ARE AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS...
-
Pharmacy Technician
2 days ago
North Miami Beach, United States AIDS Healthcare Foundation Full timeWHO WE ARE AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS...
-
Patient Advocate
2 weeks ago
North Myrtle Beach, United States Proactive MD Full timeProactive MD partners withcompanies to provide their people with employer-sponsored onsite wellness centers, decreasing costs and making their healthcare benefits more efficient. We providebroad-scope Advanced Primary Care by building relationships with our patience and practicing medicine the way it was meant to be: Compassionate, committed, and...