Patient Financial Advocate

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs.  We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve.   We are EVERSANA.  

Job Description

THE POSITION: 
The Patient Financial Advocate (PFA) is responsible for managing a patient’s financial assistance. They assist patients with navigating foundation support, commercial copay, and free drug programs per the program requirements. Additionally, as a part of the Care Team the PFA works cross functionally to ensure the patient has a positive experience throughout their entire journey.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Our employees are tasked with delivering excellent business results through the efforts of their teams.
These results are achieved by:

• Manage patient assistance programs (PAP) as required per program
• Coordinate financial assistance as required by patient
• Maintain the confidentiality and integrity of protected health information; follow HIPPA security policies and procedures
• All other duties as assigned

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

EXPECTATIONS OF THE JOB:

• Verify patient eligibility per program requirements
• Ongoing eligibility verification for patient assistance and financial assistance programs
• Communicate program requirements and limitations to patients as necessary
• Track patient balances to prevent coverage lapses
• Identify, educate and assist patients to secure appropriate financial assistance
• Apply program PAP criteria for all patients referred to the PAP program
• Identify and enroll patients in foundation support for all programs
• Monitor available financial assistance programs for changes or additional opportunities
• Take inbound calls from patients

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position.
An individual in this position must be able to successfully perform the expectations listed above.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:
The requirements listed below are representative of the experience, education, knowledge, skill and/or
abilities required.

• GED/High School Diploma and 2 years’ experience
• Experience in a pharmacy setting
• Ability to obtain registration Missouri pharmacy technician registration
• Strong communication and customer service skills
• Computer proficiencies, including Microsoft office

PREFERRED QUALIFICATIONS:

• Medical billing experience

PHYSICAL/MENTAL DEMANDS AND WORKING ENVIRONMENT:
The physical and mental requirements along with the work environment characteristics described here are representative of those an individual encounters while performing the essential functions of this position.

This is a largely sedentary role. While performing the essential functions of this job the employee is regularly required to stand and/or sit for long period of time (up to 90%). Additionally they are regularly required to talk or hear, type and engage in repetitive motion, reach and grasp; occasionally required to lift and/or move up to 25 pounds. The employee is intermittently required to stoop or crouch; push or pull; or kneel. Specific vision abilities required by this job include close vision, distance