As a Patient Support Advocate, you will:
✅ Communicate directly with insurance companies to facilitate medication approvals through prior authorizations.
✅ Help patients access financial assistance through foundations, manufacturer programs, and other funding resources to reduce high-cost medication burdens.
✅ Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans.
✅ Document patient concerns, prior authorization status updates, and financial assistance needs across databases, electronic medical records, and email systems.
✅ Collaborate with physicians’ offices to ensure patients receive timely and appropriate medication therapy.
✅ Maintain complete and accurate records of patient communications and case activity.
✅ Assist patients in managing pharmacy insurance claims and resolving coverage-related issues.
✅ Partner closely with pharmacists and pharmacy liaisons to deliver coordinated, high-quality patient care.
✅ Provide phone support to patients and help improve medication adherence and compliance.
✅ Research, investigate, and analyze information to support decision-making and problem resolution.
✅ Manage, organize, and maintain data within various database applications.
✅ Identify trends, recommend process improvements, and contribute to operational excellence initiatives.
✅ Serve as a trusted business partner to stakeholders throughout the organization.
✅ Protect confidential information and maintain compliance with all privacy requirements.
✅ Remain current on industry knowledge through continuing education, professional publications, and networking opportunities.
✅ Travel occasionally, as business needs require.
✅ Perform other duties as assigned.