The Patient Advocate serves as a vital liaison between patients medical offices and drug manufacturers. The primary objective of this role is to navigate and coordinate complex processes to ensure patients receive their required medications at no cost. This role requires a unique blend of clinical understanding administrative precision and deeply empathetic communication.
As this is a night shift position handling sensitive medical data the successful candidate must demonstrate an exceptional level of confidentiality discretion and professionalism while maintaining high productivity under minimal supervision.
Duties and Responsibilities
Patient Coordination & Communication
Stakeholder Liaison: Coordinate efforts between patients healthcare providers and drug manufacturers to facilitate medication access.
Phone Engagement: Spend 4070% of shifts on inbound and outbound calls utilizing professional phone etiquette and communication scripts.
Relationship Building: Build sustainable trusting relationships with patients by providing "above and beyond" customer service.
Program Education: Help members understand program solutions answer procedural questions and provide general information.
Prescription Management: Proactively call doctors offices to obtain and maintain current patient prescriptions.
Administrative & Technical Operations
Data Management: Utilize multiple systems to document task statuses update key information and pull data reports.
Documentation: Complete all required paperwork for order processing while adhering strictly to compliance standards.
Process Improvement: Adhere to established guidelines while recommending improved procedures to increase efficiency.
Compliance & Professionalism
Confidentiality: Maintain absolute patient confidentiality in strict accordance with HIPAA and other regulatory standards.
Self-Management: Operate effectively in a professional environment with minimal supervision meeting all scheduled activities in a timely manner.
Required Skills and Qualifications
Educational Background:
Priority:
Pharmacy: Graduate of BS Pharmacy or Pharmacy Assistant certification.
Nursing: Graduate of BS Nursing (BSN); licensed or underboard.
Can be considered:
Allied Health: Graduates of Medical Technology Biology or Health Science programs with a strong grasp of medical terminology.
Communication:
Exceptional verbal and written communication skills with a focus on professional phone etiquette and active listening.
Interpersonal Skills:
A patient empathetic approach with the ability to build rapport and gain trust from members to obtain sensitive information.
Technical Proficiency:
Technically savvy and comfortable navigating multiple systems data input and reporting (Microsoft Office or Google Suite proficiency required).
Operational Mindset:
Process Oriented: Ability to follow scripts and adhere to strict standards/guidelines.
Work Ethic:
Self-motivated coachable and comfortable working in a fast-paced environment.
Shift Readiness:
Proven ability to maintain a high level of professionalism and alertness during night/graveyard shifts with minimal supervision.
Integrity:
Demonstrated high level of confidentiality and discretion regarding sensitive patient data (HIPAA compliance).
Good To Have:
Prior experience:
In high-touch customer service roles in a healthcare account.
US Healthcare BPO Experience: Candidates who have previously worked on US-based Medical Billing Insurance Verification or Utilization Management accounts.
Medical Records Clerks: Individuals experienced in handling Sensitive Health Information (SHI) and electronic health records (EHR).
Clinical Research Coordinators: Professionals used to coordinate between different stakeholders (doctors patients and labs) while maintaining strict documentation.
Employee Benefits
Supplemental Pay Types
Required Skills:
Key Responsibilities Employee Training & Education Facilitate weekly dementia care workshops and deliver ongoing Positive Approach to Care (PAC) coaching to staff and families. Ensure timely completion of annual competency assessments and dementia-related training for all employees. Monitor training progress through CareAcademy resetting training attempts as needed to support completion. Notify the COO upon training completion to ensure employees are compensated accurately. Develop PAC and dementia care content for social media marketing and internal learning initiatives. Stay current with best practices in dementia care education. Credentialing & Compliance Management Manage all aspects of employee credentialing including collection labeling secure storage and ongoing monitoring. Maintain accurate employee contact information in TeamBridge to support automated compliance reminders. Conduct monthly outreach to employees regarding upcoming credentialing deadlines. Assist employees in uploading and correctly labeling required documentation. Alert scheduling staff when credentialing issues may impact employee status or caseload continuity. Collaborate with the COO to support organizational compliance efforts and prepare for audits. Operational & Administrative Support Complete Hour Verification Forms and Last Day Worked Letters using Al-Solutions. Manage incoming client referrals via text email and phone ensuring accurate data entry into relevant systems. Review billing and payroll records for accuracy and completeness. Enforce company policies and procedures with direct care staff promoting accountability and operational consistency. Occasionally assist with candidate screens and interviews as well as staff scheduling across Home Care GEM and Facility divisions. Requirements Active certification in Positive Approach to Care (PAC) required. 2 years of experience in employee training credentialing or compliance within healthcare or home care settings. Familiarity with dementia care principles and best practices. Experience using CareAcademy TeamBridge and other workforce management or training platforms. Knowledge of HIPAA regulations and audit preparation procedures. Skills & Competencies Strong ability to lead workshops coach staff and families and develop educational content. Detail-oriented in managing documentation tracking deadlines and ensuring regulatory readiness. Excellent verbal and written communication skills; able to engage with staff at all levels and convey complex information clearly. Comfortable using digital platforms for training credentialing and operational tasks; experience with AI-based tools is a plus. Capable of managing multiple priorities maintaining accurate records and ensuring timely follow-through. Proactive in identifying issues and implementing solutions in time-sensitive or high-stakes situations.
IT Services and IT Consulting