Patient Access Advocate - Remote
Role: Patient Access Advocate
Shift & Training: Must be available to work any shift between 8:00 AM - 8:00 PM EST, typical shift is Monday-Friday 11-8pm
- Under the general supervision of the Supervisor and Manager, the Patient Access Advocate is responsible for providing exceptional customer service and case management support. This role works directly with patients, healthcare providers, pharmacies, and manufacturer clients to facilitate access to therapy and support services. The Patient Access Advocate will manage a regional caseload, guide patients through insurance processes, and ensure compliance with HIPAA regulations.Primary Duties & Responsibilities
- Serve as a single point of contact and advocate for patients and providers; demonstrate compassion and professionalism.
- Proactively contact patients to explain insurance benefits (pharmacy and medical), anticipated out-of-pocket costs, and available support services.
- Collect and validate patient information, ensuring completeness and accuracy.
- Obtain patient consents (oral or written) and document appropriately.
- Guide provider office staff and patients through application and enrollment processes for access and reimbursement programs.
- Educate patients on copay card programs, patient assistance, and financial support options.
- Make high-volume outbound calls and handle inbound inquiries to move cases forward.
- Coordinate access to therapies, conduct follow-ups, and facilitate support services.
- Maintain frequent contact with patients, providers, payers, and pharmacy staff.
- Provide reimbursement information and Medicare/LIS education as needed.
- Accurately document all interactions in compliance with HIPAA and internal SOPs.
- Work both independently and collaboratively; support team members and escalate issues as needed.
- Experience & Education
- 3+ years of experience in a physician's office, healthcare setting, insurance environment, or customer service with a strong emphasis on education and support (required).
- Experience with Medicare and Low-Income Subsidy programs strongly preferred
- 2+ years managing a caseload or territory (required).
- Specialty pharmacy experience (required).
- Bachelor's degree (preferred).
- Skills & Knowledge
- Excellent verbal and written communication skills; able to explain complex concepts in a clear, patient-friendly manner.
- Strong organizational skills; detail-oriented and highly accurate.
- Comfortable with high-volume outbound calling and structured call guides.
- Proficient keyboarding and computer skills; experience with MS Word and Excel.
- Knowledge of HIPAA regulations and compliance requirements.
- Understanding of pharmacy and medical benefits, insurance reimbursement processes, and specialty medication support.
- Ability to multi-task and adapt to changing priorities in a fast-paced environment.
- Team player with strong interpersonal skills and a proactive mindset Duration: 6-month contract-to-hire based on performancePay Rate: $18/hrRoles are fully remote but candidates located in NC,SC, TX and FL are preffered
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