Job Description

Our HealthSmart team understands the difference we make when treating our clients, their members, and HealthSmart employees with dignity and respect. We embody our mission by promoting a diverse and inclusive culture while ensuring career flexibility and growth opportunities. Some of what we offer:

• 
  Flexible schedules like remote and hybrid location opportunities for qualifying roles
• Job Discovery Program for employees who are interested in a career path within the organization
• Continued learning for HealthSmart employees including a Leadership Development Program
• Tuition Reimbursement Program
• Employee Referral Bonus Program
• Employee rewards and recognition program

HealthSmart is one of the largest third-party administrators in the country and the premier provider of customizable and scalable health plan solutions for self-funded employers. We have a collaborative and engaged employee culture, ranking in the top 10% of employers across the country. We rank in the top 5% of health care companies in client satisfaction. We are a growing organization full of opportunities for you to advance your career, having filled over 30%+ of our open positions with internal applicants.


POSITION SUMMARY
At HealthSmart, the Patient Advocate HSRx supports patients and families by accessing financial resources for pharmaceutical co-pays through Not-For-Profit Organizations and Manufacturer Programs. This role works directly with patients and families to answer questions regarding their insurance benefit structure and assists in obtaining information required for applications and processes needed for medications and co-pay amounts for treatment.


Location and Schedule

• Permanent work from home - Remote position
• Ability to work between the hours of 8 AM - 8 PM CST (9 hour shift with scheduled lunch and breaks)

Required Skills

• 2 years\xe2\x80\x99 experience working with patient financial assistance
• Ability to guide patients and families to best-fit patient financial services
• Proven effective outreach to current resources/programs and patient financial resources
• Experience interacting with Non-For-Profit foundations, Manufacturer programs and state programs
• Comprehensive and expressive communication skills, both verbal and written
• Desire to care, inspire, and deliver HealthSmart services as a Patient Advocate
• Handle sensitive information discreetly and respectably

Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• Enroll members on-site or by calling and emailing patients or designated family members
• Maintain member records in salesforce or other approved documentation program
• Assist with program and process applications by filling out applications with patient information
• Obtain and handle patient documents required for applications with complete confidentiality
• Cultivate PAP\xe2\x80\x99s, Manufacturer, and other assistance programs relationships to secure funding for medications and treatments
• Address problems and concerns related to pharmacy financial needs to/for patients and families
• Serve as a liaison between patients, physicians, advocacy funded programs and other financial assistances
• Understand current health insurance and pharmacy benefit coverage
• Navigate multiple systems to ensure the resources provided best-fit the patients\xe2\x80\x99 needs
• Update database with diagnosis\xe2\x80\x99s, recommended medications and treatments, and financial resource utilized
• Provide information to patients and families regarding their benefit plan and pharmacy benefit coverage
• Maintain professional relationships and convey information to authorized members
• Initiate priorities to peers and collaborate with cross functional teams on operational and sales initiatives
• Maintain files, process incoming calls, emails and provide other general support to members
• Resolves problems/issues correctly and independently
• Escalates any unresolved member enrollment issues to leadership
• Deliver database and system analytics to leadership

Physical Requirements

• While performing the duties of this job, the employee is frequently required to sit, talk, and hear
• The employee is occasionally required to walk; use hands and fingers to feel, handle, or operate objects, tools, or controls; and reach with hands and arms
• The employee must occasionally lift and/or move up to 30 pounds.
• Specific vision abilities required by this job include close vision and the ability to adjust focus
• The work is performed primarily in a remote setting
• The noise level in the work environment is moderate

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.


HealthSmart provides 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.


The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.