Job Description

Job Title: Patient Insurance Advocate
Job ID: 668796
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Specialty Reimbursement
Location: 215 Beecham Drive, Pittsburgh PA 15205

Description

Purpose:
Responsible for researching, obtaining and coordination of financial assistance and copay assistance for the Specialty Pharmacy department. This may include verification of insurance coverage, entering/ updating patient information into the computer system, communication of financial responsibility and securing financial assistance for patients.

Responsibilities:
  • Assist Lead Insurance Verification Coordinator as required
  • Assists with review of financial responsibility with patient or family member and obtain payment mechanism.
  • Carries out all responsibilities in accordance with Chartwell's Core Values. Sets high goals or standards of performance for self. Makes sure that work meets quality standards. Shows pride in work. Demonstrates reliability and follow-through on all assigned tasks.
  • Cooperates with other staff members when planning and organizing daily activities.
  • Demonstrates ability to communicate effectively and express ideas clearly.
  • Demonstrates the ability to work effectively and maintain expected productivity.
  • Ensures that all financial assistance applications are processed timely and accurately.
  • Follow up with existing patients to obtain new or renewal copay assistance cards.
  • Maintains courteous demeanor at all times.
  • Prioritizes and completes work on schedule.
  • Researches, obtains and coordinates financial assistance for Specialty Pharmacy patients.
  • Researching and updating manufacturer copay assistance programs as needed and annually; update the drug assistance spreadsheet.
  • Takes initiative to present ideas/suggestions to management.
  • Track and monitor patient's with approved assistance grants and reapply for more funding as needed.
  • Tracks and generates reports for management specific to co-pay assistance obtained.
  • Utilizes appropriate communication lines in relaying problems, concerns, questions and ideas.

Qualifications

  • 1-3 years of financial assistance experience in Specialty Pharmacy or a HealthCare setting required. 
  • High School Diploma or equivalent required. 
  • Knowledge of Specialty pharmacy payers, medications and insurance verification highly desired. 
  • Knowledge of financial assistance programs desired. 
  • Excellent organizational, communication and customer service skills.
  • Capable of managing multiple priorities. 
  • Specialty Pharmacy experience a plus.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $17.11 to $28.43

Union Position: No

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