The Pharmacy Patient Benefits Counselor is the organization’s financial advocate assisting all HopeHealth patients with obtaining benefits to cover prescription drugs.
Education And Experience
High School Diploma or GED required.
Associates degree in related field preferred
Pharmacy Technician license required
1-2 years of medical office, pharmacy or hospital experience, preferably in front office, pharmacy or financial counselor role.
eClinicalWorks experience preferred
Proficient with Microsoft Office Suite specifically Excel and Word
Required Skills / Abilities
Thrives in a fast past environment
Exhibits strong active listening skills, attention to detail, and decision-making skills
Displays a pleasant, friendly attitude with the ability to adapt to change
Shows a willingness to collaborate with all departments
Maintains ability to be flexible with changing priorities, work volume, procedures, and variety of tasks
Communicates effectively in both written and oral format
Prioritizes care of all patients
Supervisory Responsibilities
No supervisory responsibilities
Essential Job Functions
Follow up on DAP (Drug Assistance Program) applications, companywide.
Follow up on WellVista applications, companywide.
Assist patients, staff, and outside vendors with questions regarding pharmacy programs at the Center.
Responsible for the review, input, and scanning of patient paperwork.
Input and update critical information into practice management system (PMS) including but not limited to: demographic, payer, patient responsibility (copay, coinsurance, deductible, and non-covered services), and additional reporting data.
Use SC Thrive to determine if patient is eligible for benefits such as Medicaid, Affordable Care Act (ACA), Sliding Fee Discount Program (SFDP), and WellVista.
Assist qualified patients with the proper documents needed for WellVista and DAP applications.
Verify eligibility and benefits of insured patient. Clearly explain so patient is aware of eligibility and benefits of their insurance policy and their responsibility.
Coordinates with other HopeHealth departments to assist patients with financial needs.
Address messages, actions and telephone encounters on a daily basis.
Contact the patient by phone to follow up on needed paperwork, answer patient questions, or other requested items
Other duties as assigned
Physical Requirements
Must possess the ability to communicate in the dominant language of the geographic region. Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
Seniority level
Entry level
Employment type
Full-time
Job function
Sales and Business Development
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at HopeHealth, Inc. by 2x