Role Description
The Patient Care Advocate II maintains a high level of interaction with Specialty Care Pharmacy patients and physicians to ensure prescriptions are being filled and delivered correctly, and that the patient is taking the medication properly.
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Acts as a liaison between Specialty Care Pharmacy, patients and the provider's office.
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Responsible for ensuring all necessary information, including insurance verification, is available to process prescription orders.
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Assist in collecting clinical outcomes data from patients and assist in tracking the data within the software system.
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Responsible for explaining company programs and services to patients and provider's office staff.
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Communicates with patient for prescription refills.
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Refers any medication or illness related question or concerns to a board licensed healthcare professional.
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Responsible for processing of prescription refills through pharmacy dispensing software.
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Maintains documentation of calls to and from patients and providers.
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Contact patients to schedule deliveries, confirm address, inform of any co-payment information, and notify of payment responsibilities.
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Assists with prior authorizations.
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Refers under/uninsured patients to appropriate patient assistance programs and assists with applications.
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Keeps current with new treatment trends.
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Communicates patient status to provider's office/clinics.
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Maintains patient confidentiality.
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Performs other duties and responsibilities as assigned.
Qualifications
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Meet state requirements of national certification (CPhT) or other board approved training program, if required by state of residency.
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PTCB and state registration required - Colorado.
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State Registration required - Florida.
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High School Diploma or equivalent.
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One-year related customer service experience.
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Previous insurance experience and medical or pharmacy background is preferred.
Requirements
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Time management.
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Oral and written communication skills.
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Professionalism.
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Customer service skills.
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Ability to multitask and be detail oriented.
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Ability to work efficiently without creating distraction or disruption to other employees.
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Ability to relate well and communicate effectively with other employees and patients.
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Ability to work well with various personalities and work as a team.
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Should be independent and self-motivated.
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Ability to work and accomplish goals with little to no supervision.
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Organizational skills.
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Must be dependable and maintain levels of confidentiality.
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General knowledge of internet navigation and research.
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Knowledge of e-mail, fax transmission, and copy equipment are essential.
Work Environment / Physical Demands
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This position is in a typical office environment which requires prolonged sitting in front of a computer.
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Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment.
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May have occasional high stress when dealing with customers/clients.
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Some travel may be required.