Medication/Copay Assistance Advocate

The Medication/Copay Assistance Advocate will proactively identify and evaluate all areas in supporting patients to reduce economic barriers to care. This individual will have working knowledge of available pharmaceutical drug donation programs, copay assistance and patient assistance support tools, implant and skin substitute donation programs, be knowledgeable of basic revenue cycle processes, and attempt to mitigate all financial toxicity for patients and institution. This caregiver serves as a liaison between network departments, medication manufacturers, copay assistance foundations, health insurance companies, all hospital financial business representatives, as well as all patients, families, and caregivers to facilitate system/resource utilization. Works closely with patient financial services to ensure compliance will all applicable regulations, standards and laws, and department and hospital policies. Identify and evaluate patients for all areas of available assistance. Including, but not limited to; medication, implant, and skin substitute product donation, copay assistance, and all other relevant areas of financial assistance. If needed, assists patients and family/caregivers in applying to program(s) for said assistance. Works collaboratively with the healthcare teams to obtain clinical and financial information for assistance program enrollment. a) identifying and assisting with all assistance applications, b) liaising between the patient, the physician offices and clinics, the patient assistance programs(s), and the facility financial services representatives. Utilize tools to manage and track all patient assistance dollars, drug replacement, copay assistance, and any other applicable grant or foundation assistance. Coordinates with other departments to resolve issues and facilitate timely application submission Knowledge of medication J Codes, CPTs, and billing units Successful at multi-tasking, and maintains focus and composure in a fast-paced work environment Has the ability to calculate (by ratio proportion) the medication dosages with knowledge of the metric measurement conversions Education H.S. Diploma - Required Completion of a nationally recognized Pharmacy Technician Education Program - Required OR Associate's Degree - Care Management or related field - Required Work Experience 1+ Years - Experience working w/ revenue cycle and/or patient assistance programs - Required 1+ Years - Basic knowledge of health insurance pre-certification processes for medications and infusions, and CPT and J Codes associated with those infusions - Required Hospital pharmacy experience - Preferred Licenses and Certifications National or State Certified Pharmacy Technician current or within 1 year - Required Travel Requirements Must be able to travel between various system facilities and off-site locations as needed - Required Skills and Abilities Essential Technical/Motor Skills Basic Microsoft application skills required Excellent oral and written communication skills Excellent organization and time management skills, and ability to establish priorities effectively Dependable in both production and attendance Communicates clearly with professional etiquette while using electronic fax, computer, email, Teams, and telephone Research and review payer policies, guidelines, and compliance guidelines Creative problem-solving skills Knowledge of medication J Codes, CPTs, and billing units Escalate issues appropriately to leadership Ability to work independently and multi-task as needed Interacts virtually with team to stay connected and informed Interpersonal Skills Communicate effectively in a professional manor to everyone with whom you may interact no matter the diverse background and able to work both independently and as a team to achieve department and organizational goals while promoting a positive group environment. Essential Physical Requirements Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax, etc. Job requires sitting mostly, walking and standing occasionally. Essential Mental Abilities Ability to analyze and interpret data, explain issues thoroughly, be adaptable in daily responsibilities and flexible based on department and organizational needs, comprehend written and spoken instructions with the ability to retain the information, must be able to organize data and have time management skills and contain the ability to collaborate to resolve any potential billing issues. Essential Sensory Requirements Hearing, speaking, and visual skills. Exposure to Hazards Limited exposure.