Patient Support Advocate, Ambulatory Pharmacy

• Answer incoming calls and respond to electronic communications.
• Assist health care providers and patients by greeting them by phone; answering questions and requests.
• Handle customer inquiries both telephonically and by email.
• Manage and resolve customer complaints.
• Process benefits investigations, prior authorizations, and copayment assistance request for prescriptions.
• Maintain current knowledge of pharmacy assistance programs.
• Evaluate all self-pay and underinsured patients for PAP/MAP eligibility.
• Work collaboratively with clinical based pharmacist to obtain clinical and financial information needed for program enrollment.
• Interact with physicians, nurses, and other health care professionals in a courteous and professional manner.
• Support all new team initiatives.
• Elevate issues promptly to supervisors.

• Bachelor's Degree (Preferred)
• 1+ years Healthcare experience (Required) or Registered or Certified Pharmacy Technician status will be accepted in lieu of experience.
• Excellent organizational, analytical and problem solving skills.
• Strong oral and written communication abilities.
• Working knowledge of the complexities and interdependencies of Insurance Benefits, Medical Records, and pharmacy operations.
• Strong technical skills and abilities in planning, solution structure, assessment, analysis, client relationship management.
• Registered Pharmacy Technician (RPhT) (Preferred)

Demonstrates expertise in managing customer inquiries and complaints within the healthcare sector, with a strong focus on pharmacy operations and insurance benefits. Proficient in evaluating patient eligibility for assistance programs and collaborating with healthcare professionals to ensure effective program enrollment.

• Healthcare Experience
• Registered Pharmacy Technician (RPhT)
• Insurance Benefits Knowledge
• Customer Relationship Management
• Analytical Problem Solving

• Benefits Investigations
• Prior Authorizations
• Copayment Assistance Processing
• Pharmacy Assistance Programs Knowledge
• Patient Eligibility Evaluation

• Organizational Skills
• Analytical Skills
• Problem Solving
• Oral Communication
• Written Communication

• Bachelor's Degree
• Registered Pharmacy Technician (RPhT)

• Healthcare
• Pharmacy Operations
• Medical Records
• Clinical Collaboration
• Customer Inquiries