Patient Support Advocate - Chardon, United States - University Hospitals

University Hospitals Chardon, United States

3 weeks ago

Description

Sign-on bonus: $2,500

Essential Functions

Call Center Support

• Answer incoming calls and respond to electronic communications

• Assist health care providers and patients by greeting them by phone; answering questions and requests; referring inquiries to the site pharmacist(s) as needed.

• Handle customer inquiries both telephonically and by email

• Research required information using available resources

• Manage and resolve customer complaints
Medication Assistance (Access) Support

• Process benefits investigations, prior authorizations, pre-certifications, and copayment assistance request for prescriptions received by the UH Home Care Specialty Pharmacy.

• Maintain current knowledge of, requirements for and ability to enroll patients in: Pharmacy Assistance Program (PAP), manufacturer, state and local medication assistance programs; disease based assistance from non-profit organizations; Medicare prescription drug benefits; Social Security Low Income Subsidy; state and federal medication subsidy programs

• Maintain documentation of patient status for resource programs in required databases

• Evaluate all self-pay and underinsured patients for PAP/MAP eligibility and enroll patients based on financial need

• Work collaboratively with clinical based pharmacist to obtain clinical and financial information needed for program enrollment

• Utilize internally developed systems, commercial vendor software (to track patient eligibility, prescriptions, patient communications and program enrollment), outpatient clinical, scheduling and financial systems as necessary

• Interact with physicians, nurses, and other health care professionals in a courteous and professional manner

• Display the highest level of customer service, attentiveness, and consideration possible in all situations

• Support all new team initiatives

• Elevate issues promptly to supervisors to promote positive outcomes for internal and external customers

• Maintain organized workspace to help foster efficient operations

• Show attention to detail, accuracy, and thoroughness in an effort to continually improve quality

• Manage time wisely and demonstrate the ability to prioritize assigned tasks

Required For All Jobs

Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications:
QualificationsEducation

Bachelor's Degree Preferred

Knowledge, Skills, & Abilities

Excellent organizational, analytical and problem solving skills. Required
Strong oral and written communication abilities. Required
Working knowledge of the complexities and interdependencies of Insurance Benefits, Medical Records, and pharmacy operations. Required
Strong technical skills and abilities in planning, solution structure, assessment, analysis, client relationship management. Required

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely 20 lbs
Carrying Rarely 20 lbs
Pushing Rarely 20 lbs
Pulling Rarely 20 lbs
Climbing Rarely 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

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