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Patient Advocate Hsrx Jobs

Company

HealthSmart
Address , Lexington, 40503, Ky
Employment type FULL_TIME
Salary
Expires 2023-06-24
Posted at 1 year ago
Job Description
Our HealthSmart team understands the difference we make when treating our clients, their members, and HealthSmart employees with dignity and respect. We embody our mission by promoting a diverse and inclusive culture while ensuring career flexibility and growth opportunities. Some of what we offer:
  • Employee rewards and recognition program
  • Tuition Reimbursement Program
  • Continued learning for HealthSmart employees including a Leadership Development Program
  • Employee Referral Bonus Program
  • Flexible schedules like remote and hybrid location opportunities for qualifying roles
  • Job Discovery Program for employees who are interested in a career path within the organization

HealthSmart is one of the largest third-party administrators in the country and the premier provider of customizable and scalable health plan solutions for self-funded employers. We have a collaborative and engaged employee culture, ranking in the top 10% of employers across the country. We rank in the top 5% of health care companies in client satisfaction. We are a growing organization full of opportunities for you to advance your career, having filled over 30%+ of our open positions with internal applicants.

POSITION SUMMARY
At HealthSmart, the Patient Advocate HSRx supports patients and families by accessing financial resources for pharmaceutical co-pays through Not-For-Profit Organizations and Manufacturer Programs. This role works directly with patients and families to answer questions regarding their insurance benefit structure and assists in obtaining information required for applications and processes needed for medications and co-pay amounts for treatment.

Location and Schedule
  • Permanent work from home - Remote position
  • Ability to work between the hours of 8 AM - 8 PM CST (9 hour shift with scheduled lunch and breaks)

Required Skills
  • Ability to guide patients and families to best-fit patient financial services
  • Desire to care, inspire, and deliver HealthSmart services as a Patient Advocate
  • Comprehensive and expressive communication skills, both verbal and written
  • 2 years’ experience working with patient financial assistance
  • Proven effective outreach to current resources/programs and patient financial resources
  • Handle sensitive information discreetly and respectably
  • Experience interacting with Non-For-Profit foundations, Manufacturer programs and state programs

Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
  • Provide information to patients and families regarding their benefit plan and pharmacy benefit coverage
  • Initiate priorities to peers and collaborate with cross functional teams on operational and sales initiatives
  • Assist with program and process applications by filling out applications with patient information
  • Maintain member records in salesforce or other approved documentation program
  • Navigate multiple systems to ensure the resources provided best-fit the patients’ needs
  • Obtain and handle patient documents required for applications with complete confidentiality
  • Maintain professional relationships and convey information to authorized members
  • Understand current health insurance and pharmacy benefit coverage
  • Serve as a liaison between patients, physicians, advocacy funded programs and other financial assistances
  • Escalates any unresolved member enrollment issues to leadership
  • Update database with diagnosis’s, recommended medications and treatments, and financial resource utilized
  • Resolves problems/issues correctly and independently
  • Enroll members on-site or by calling and emailing patients or designated family members
  • Maintain files, process incoming calls, emails and provide other general support to members
  • Address problems and concerns related to pharmacy financial needs to/for patients and families
  • Deliver database and system analytics to leadership
  • Cultivate PAP’s, Manufacturer, and other assistance programs relationships to secure funding for medications and treatments

Physical Requirements
  • The work is performed primarily in a remote setting
  • The employee must occasionally lift and/or move up to 30 pounds.
  • The employee is occasionally required to walk; use hands and fingers to feel, handle, or operate objects, tools, or controls; and reach with hands and arms
  • While performing the duties of this job, the employee is frequently required to sit, talk, and hear
  • Specific vision abilities required by this job include close vision and the ability to adjust focus
  • The noise level in the work environment is moderate

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.

HealthSmart provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.