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Patient Financial Advocacy Coordinator

$20 per hour
Full-time

Onco360

: Great opportunity for professional growth! Our Onco360 Pharmacy in Waltham, MA has an opening for a Patient Financial Advocacy Coordinator . This is a full-time position, Mondays-Fridays 10:30a-7p EST. Seeking candidates who live within a commutable distance to this pharmacy location. We offer great pay and benefits! Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturer s. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. We offer a variety of benefits including:
  • Medical, Dental, Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Company paid benefits - life; and short and long-term disability
Starting salary from $20.00 an hour and up The Patient Financial Advocacy Coordinator is responsible for assisting patients and/or families to access financial resources for Pharmacy co-pays. The Advocate assists patients who may qualify for assistance through Not for Profit Organizations and Manufacturer Programs. The Advocate is also available to patients and families to answer questions regarding their insurance benefit structure for needed medications and provide co-pay amounts for their treatment. They are responsible for navigating the system to find resources that best fits the patient's needs, aid patients by explaining the process, assist in filling out applications and going over the documents that will be required to complete the application. Patient Financial Advocacy Coordinator Responsibilities:
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Maintains a working knowledge of health insurance and pharmacy benefit coverage, cancer diagnoses and drugs used in their treatment.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Develop relationships with PAP's, Manufacturer and other assistance programs to secure funding for Oncology Patients for their cancer medications.
  • Implement the operational process of initiating, completing and appropriate follow up for financial assistance for both under insured and uninsured patients.
  • Interacts with patients and families with a variety of developmental and socio-cultural backgrounds to provide information to patients and families regarding their benefits and financial assistance options
  • Maintain confidentiality in matters relating to patient and family while serving as a liaison between patients, physicians, advocacy funds and other oncology pharmacies.
  • Maintain and update understanding of health insurance and pharmacy benefit coverage.
  • Provide information to patients and families in order to counsel and educate regarding their benefit plan.
  • Maintain professional relationships and convey relevant information to other members of the healthcare team within facility and any applicable referral agencies.
  • Initiate communication with peers about priorities as well as collaborate with cross functional teams on operational and sales initiatives.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Patient Financial Advocacy Coordinator Qualifications: Education/Learning Experience
  • Required: High School Diploma or GED. Previous Experience in Pharmacy or Patient Advocacy/Financial Assistance
  • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
  • Work Experience
    • Required:1+ years patient assistance/advocacy experience
    • Desired: 3+ years patient assistance/advocacy experience
  • Skills/Knowledge
  • Required: Knowledge/understanding of current patient assistance programs and resources to assist patients financially (i.E. foundations, manufacturer programs, state programs, Medicare, Medicaid, and commercial insurance, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • Desired: Specialty pharmacy experience, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication:
  • Licenses/Certifications
    • Required: Registration with Board of Pharmacy as required by state law
    • Desired: Certified Pharmacy Technician (PTCB)
  • Behavior Competencies
    • Required: Ability to interact with sensitivity as a patient advocate, independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills
Company Values: Teamwork, Respect, Integrity, Passion

Vacancy posted 4 days ago
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