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Patient Support Advocate - Central Fill Mail Order (Hybrid)
Patient Support Advocate - Central Fill Mail Order (Hybrid)-March 2024
Beachwood
Mar 31, 2026
About Patient Support Advocate - Central Fill Mail Order (Hybrid)

  DescriptionSign-on Bonus eligible: $2,500!!!The team is seeking an individual knowledgeable about pharmacy and manufacturer assistance programs, insurance coverage (limitations, requirements, eligibility, formularies, prior authorizations, benefits investigations, etc.), available community and national resources, ICD-9 codes, and determinants of financial need. Additionally, this individual should display an understanding of pharmaceutical terminology (brand, generic, dose, route, etc.).The Patient Support Advocate (PSA) will work closely with pharmacy staff, clinic staff, and clinical pharmacist specialist to obtain the appropriate clinical and financial information for available assistance programs. The PSA is also responsible for providing patients and clinicians with accurate and up to date information regarding assistance programs, insurance eligibility, government subsidies, as well as maintaining a database with accurate patient and assistance program information. The PSA will work with the UH Ventures Pharmacy Services to make refill and other routine phone calls to patients and follow up on medication delivery.ESSENTIAL DUTIES AND RESPONSIBILITIESThe responsibilities of the Patient Support Advocate include the following: UH Specialty Pharmacy Services: Call Center Support1. Answer incoming calls and respond to electronic communications2. Assist health care providers and patients by greeting them by phone; answering questions and requests; referring inquiries to the site pharmacist(s) as needed.3. Handle customer inquiries both telephonically and by email4. Research required information using available resources5. Manage and resolve customer complaintsMedication Assistance (Access) Support1. Process benefits investigations, prior authorizations, pre-certifications, and copayment assistance request for prescriptions received by the UH Home Care Specialty Pharmacy.2. Maintain current knowledge of, requirements for and ability to enroll patients in Pharmacy AssistanceProgram (PAP), manufacturer, state and local medication assistance programs; disease-based assistance from non-profit organizations; Medicare prescription drug benefits; Social Security Low Income Subsidy; state and federal medication subsidy programs3. Maintain documentation of patient status for resource programs in required databases4. Evaluate all self-pay and underinsured patients for PAP/MAP eligibility and enroll patients based on financial need5. Work collaboratively with the clinical based pharmacist to obtain clinical and financial information needed for program enrollment6. Utilize internally developed systems, commercial vendor software (to track patient eligibility, prescriptions, patient communications, and program enrollment), outpatient clinical, scheduling and financial systems as necessary7. Interact with physicians, nurses, and other health care professionals in a courteous and professional manner8. Display the highest level of customer service, attentiveness, and consideration possible in all situations9. Support all new team initiatives10. Elevate issues promptly to supervisors to promote positive outcomes for internal and external customers11. Maintain organized workspace to help foster efficient operations12. Show attention to detail, accuracy, and thoroughness in an effort to continually improve quality13. Manage time wisely and demonstrate the ability to prioritize assigned tasksEqual Opportunity Employer -- minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

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