Remote - Patient Care Advocate (Customer Service)

Job Title: Patient Care Advocate 

Job Location: Remote

About Us: 

We are a dedicated team focused on improving access to affordable prescription medications for patients. By partnering with insurance companies, healthcare providers, and pharmacies, we work to reduce the financial burden of medications, ensuring that patients can access the treatments they need without excessive costs. 

Role Overview: 

As a key member of our team, you will help patients navigate our Prescription Payment Plan. This involves working closely with patients, insurance providers, healthcare professionals, and pharmacies to ensure seamless enrollment, eligibility verification, cost-sharing, and prescription fulfillment. 

What You’ll Do: 

• Patient Enrollment & Eligibility: Assist patients with enrolling in the program, ensuring all necessary personal and insurance information is provided and verifying eligibility. 

• Prescription Coverage: Help patients confirm that their prescribed medications are covered under the program, and manage the approval process for eligible medications. 

• Cost-Sharing & Payment: Reduce patients' out-of-pocket costs by applying the program benefits. Manage copayments, coinsurance, and assist with additional copay assistance when applicable. 

• Prescription Fulfillment: Coordinate with participating pharmacies to ensure the correct application of benefits during prescription filling, ensuring patients pay the reduced amount. 

• Refills & Continued Use: Support patients by ensuring they continue receiving medications at reduced costs, monitoring adherence to medication regimens, and ensuring continued eligibility. 

• Program Renewal & Updates: Guide patients through annual renewals and inform them about any updates to the program or medication formulary. 

What We’re Looking For: 

• High school diploma or GED required
• Experience in healthcare, insurance or customer service required (experience with prescription assistance programs is a plus)
• Strong attention to detail and ability to navigate complex processes
• Excellent communication skills for working with patients, healthcare providers, and pharmacies
• A genuine passion for helping others and making a positive impact on their healthcare access
• The ability to work efficiently and collaboratively within a team environment

Success Factors for Working from Home 

• Private Workspace: A dedicated, quiet workspace with a door that closes, free from ambient noise. 

• Ergonomics: A comfortable desk and chair setup that allows for the proper installation of necessary equipment. 

• Reliable Internet Connection: Stable, high-speed internet with a minimum bandwidth of 10 Mbps downstream and 5 Mbps upstream. 

• Quiet, Distraction-Free Workspace: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions. 

• Tech-Savvy: Comfort with technology and ability to learn new systems quickly. 

• Self-motivation & Independence: Ability to stay productive and manage your time effectively in a remote environment. 

• Communication Skills: Strong verbal and written communication skills, especially in a virtual setting. 

• Adaptability: Ability to adapt to changing technologies and procedures while working remotely. 

Compensation & Perks 

• Hourly Pay: $16.50 per hour 

• Company-Provided Equipment: All necessary equipment will be provided. 

• Comprehensive Benefits: Full health insurance package including medical, dental, and vision coverage. 

• Cell Phone Benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply). 

• Generous Referral Program: Earn $50 per paycheck for every person you refer—and your referral earns it too! No limits on payouts. 

• Comprehensive Training: Paid training to ensure you are fully prepared for success. 

• Career Growth: Opportunities for career advancement and professional development within a leading healthcare provider. 

• Work-from-Home Convenience: Save time, and money, and reduce your environmental footprint. 

• Inclusive Culture: We are an Equal Opportunity Employer, including individuals with disabilities and veterans. 

What Success Looks Like: 

• Reduced out-of-pocket costs for patients through effective cost-sharing and copay assistance 

• Timely and accurate processing of prescription claims and approvals 

• High patient satisfaction with the program’s support and streamlined experience 

• Compliance with program requirements and monitoring of patient eligibility for ongoing assistance 

Why Join Us? 

• Be part of a team that makes a real difference in patients' lives by reducing the cost of necessary medications 

• Opportunity for professional growth in the healthcare and insurance sectors 

• Competitive compensation and benefits package 

• A collaborative, supportive, and innovative work culture 

Ready to Make an Impact? 

Join us in making prescription medications more affordable and accessible for those who need them most. If you're ready to help make a difference, we'd love to hear from you!