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KY - Re-Enrollment Advocate @ J.knipper

Virtual Employee
Louisville, KY Full Time
POSTED ON 4/8/2025
AVAILABLE BEFORE 5/8/2025

About the job KY - Re-Enrollment Advocate @ J.knipper

Work dates are November 1, 2021 through January 31, 2022 POSITION SUMMARY :

The Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support, as well as administrative functions. This role is a seasonal call center position. Schedules are flexible. Training and work is onsite in our call center. Work hours range from 8am to 8pm, Monday through Friday.

POSITION RESPONSIBILITIES :

  • Review and process patients enrollment forms to the Patient Assistance Program (PAP)
  • Assist patients on the phone with PAP program enrollment by verifying the pre-screening and qualifying tasks.
  • Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process
  • Schedule treatments to be sent to the patient or patients healthcare provider
  • Support inbound and outbound phone lines for the PAP program
  • Communicate daily with patient / authorized representative on eligibility based on PAP criteria and healthcare providers to manage expectations.
  • Contact patient / authorized representative to determine supplementary information needed to enroll into the manufacturers PAP program.
  • Prioritize workload to ensure patients enrollments are processed within specified timeframe
  • Explain the PAP program and services to patients, authorized representatives, healthcare providers and physicians office staff.
  • Respond to program inquiries from patients, authorized representatives, healthcare providers, patient advocates and caregivers.
  • Report adverse events / product complaint inquires received in accordance with standard operating procedures and current good manufacturer practices.
  • Execute day-to-day operations specific to the assigned program(s).
  • Maintain patient confidentiality at all times.

REQUIRED EDUCATION AND EXPERIENCE :

  • High school diploma or equivalent
  • Must have proven ability to provide consistently high-quality of service
  • PREFERRED EDUCATION AND EXPERIENCE :

  • Ability to work through the project dates : Nov 1st to January 31st.
  • Experience with insurance and benefit investigations; knowledge of U.S. Private and Government payers
  • Two (2) years of work experience in pharmacy, managed care, Medicaid and / or Medicare organizations, pharmaceutical and / or biotech manufacturer, insurance, medical office, or related field
  • Six (6) months of work experience in a call center environment.
  • Experience with HIPAA and patient services
  • Bi-lingual, English and Spanish
  • KNOWLEDGE, SKILLS & ABILITIES :

  • Demonstrated empathy and compassion
  • Excellent verbal and written communication skills
  • Excellent organization skills and detail oriented
  • Balance multiple priorities to meet expected response deadlines
  • Adaptable, flexible and readily adjust to changing situations
  • Ability to work independently and as a member of a team
  • Ability to comprehend and apply basic math principles
  • Ability to apply logical thinking when evaluating practical problems
  • Ability to present information and respond to questions from stakeholders
  • Ability to interact with a diverse group
  • Ability to listen and demonstrate a high degree of empathy
  • Demonstrated computer skills includes Microsoft Word, Excel, and Outlook
  • Display tact and diplomacy in response to unfavorable or negative situations
  • Demonstrated sensitivity and understanding when speaking with patients
  • Demonstrated passion for speaking with people in an outgoing way
  • PHYSICAL REQUIREMENTS :

  • Location of job activities 100% inside
  • Extensive manual dexterity (keyboarding, mouse, phone)
  • Constant use of phone for communication
  • Noise and / or vibrations exposure
  • Frequently reach (overhead), handle, and feel with hands and arms
  • Sit for prolonged periods of time
  • Occasionally stoop, kneel, and crouch
  • Occasionally lift, carry, and move up to 25 pounds
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