Job Description
Pharmacy Patient Advocate
What our client is looking for
Our client is seeking a Patient Advocate for their Contact Center in Berwyn, PA. This pivotal role serves as the primary point of contact between their client and the stakeholders they support, including patients, healthcare providers, pharmacies, and health plans. This frontline role is essential in delivering white-glove customer service and ensuring a seamless, compassionate experience for patients throughout their treatment journey.
The Patient Advocate is responsible for facilitating timely access to prescribed medications, conducting outbound calls, receiving inbound inquiries, and addressing questions with professionalism and empathy. A core function of this role is to remove barriers to access, ensuring the patient journey is effortless from the doctor writing the prescription to its delivery.
The role is based in our client's Berwyn, PA office. This position will require to be in the office 5 days a week, Monday through Friday, for the first 90 days for training purposes. After that, it will be a hybrid role that requires in-office work three (3) days per week.
What the position will be doing
- Serve as the primary point of contact for patients, providers, pharmacies, and health plans, while delivering concierge-level service and support.
- Conduct inbound/outbound calls and texts to facilitate the patient journey and ensure timely access to prescribed medications.
- Coordinate benefits investigations and work with pharmacy and medical benefit payers to secure coverage and approvals for therapies.
- Assist patients with enrollment in financial assistance programs, including manufacturer copay cards, foundation assistance, or patient assistance programs (PAPs).
- Provide clear, compassionate guidance to patients, addressing questions and concerns to reduce barriers and support adherence.
- Track, log, and resolve all communications and actions in the contact management system with accuracy and timeliness.
- Collaborate with internal teams and external partners to streamline processes and ensure efficient medication fulfillment and delivery.
- Monitor patient cases from initiation to resolution, ensuring follow-ups are conducted and updates are communicated promptly.
- Escalate complex or unresolved issues to the appropriate internal stakeholders while maintaining ownership of the patient experience.
- Perform other related duties as assigned or necessary; remain flexible and adaptable in work schedules and assignments as defined by departmental and organizational needs.
Necessary Skills, Education & Abilities
- A high school diploma or equivalent is required; an Associate's or Bachelor's degree in healthcare, communications, or a related field is preferred.
- Two (2) or more years of experience in a healthcare contact center, patient support, specialty pharmacy, or related customer service role.
- Experience working with healthcare stakeholders such as patients, providers, pharmacies, and/or health plans.
- Familiarity with medical and pharmacy benefits, prior authorization processes, and financial assistance programs preferred.
- The ability to speak English and one or more additional languages is a plus.
- Excellent oral communication skills with a compassionate and patient-centered approach.
- Demonstrated ability to deliver concierge-level customer service in a fast-paced environment.
- High attention to detail and organizational skills with the ability to manage multiple cases and priorities simultaneously.
- Strong interpersonal skills and the ability to work independently and effectively in a team setting.
- Dependable and punctual, flexible to work shifts as needed, including evenings or weekends, based on patient and business needs.
- Problem-solving mindset with the ability to de-escalate issues and find solutions quickly and effectively.
- The ability to handle sensitive and confidential information with professionalism and discretion.
- Commitment to maintaining a positive and empathetic attitude in all interactions.
- Able to thrive in a fast-paced environment with constantly changing priorities, flexible and adaptive to changing processes and procedures.
- Self-motivated and able to thrive in a results-driven environment.
- Proficient in Microsoft Office Suite, Excel, Word, PowerPoint, and Outlook
About our client
Our client is a Specialty Pharmacy dedicated to providing services to smaller patient communities. They focus on securing insurance coverage, coordinating care, and complying with therapy regimens are only a few examples. Their mission is to minimize the daily impact of living with unique disorders. After just one call, their experts begin to address everything from medication delivery and insurance reimbursement to compliance and education. Every patient receives a proactive service experience tailored to their specific needs.
Converge HR Solutions and our clients provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Job Tags
Full time, Work at office, Local area, Flexible hours, Afternoon shift, 3 days per week, Monday to Friday,