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Medication Assistance Advocate - CMH Pharmacy

Carle

Carle

Legal
Peoria, IL, USA
Posted on Tuesday, September 12, 2023


Job Description

JOB SUMMARY:
The Medication Assistance Advocate (MAA) will administer the Medication Assistance Program on behalf of the health system. This multi-faceted role requiring expertise in Pharmacy and Billing with an understanding of Case Management and Social Work facilitates financial assistance for patients related to medications. The MAA will qualify patients for enrollment, secure appropriate documentation, track requested and received products, track reimbursements and maintain professional working relationships with medical and hospital staff. The Advocate willutilize database management to develop site specific reports. This position also requires professional presentation and communication skills and a working knowledge of medications.

EDUCATIONAL REQUIREMENTS
H.S. Diploma/GED in High school graduate or general education degree (GED)

CERTIFICATION & LICENSURE REQUIREMENTS
Driver's License Valid driver's license when driving any vehicle for work-related reasons. upon hire.

EXPERIENCE REQUIREMENTS
Pharmacy Technician experience And Proficient with computer applications, especially Microsoft Excel

ADDITIONAL REQUIREMENTS
  • Use of usual and customary equipment used to perform essential functions of the position.
  • Work may occasionally require travel to other UPH facilities. May drive a Carle vehicle, rental, or own vehicle


SKILLS AND KNOWLEDGE
Reads, writes, comprehends and speaks fluent English
Computer knowledge using word processing, spreadsheet, email, and web browser
Provides written and verbal communication suitable to receiver of communication


ESSENTIAL FUNCTIONS:

Medication Advocate

  • Identify and enroll qualified patients for medication assistance programs related to their therapy/medication.
  • Utilization of software to run timely reports and receiving referrals from other members of the health care team.
  • Secure and review applicable paperwork/applications to facilitate patient enrollment in programs.
  • Execute logistics of assistance programs including, but not limited to, product replenishment, co- pay reimbursement, payment arrangements, prescription cards, coupons, and foundations.
  • Responsible for establishing and executing communication to keep patients informed and knowledgeable about the medication assistant program and financial obligations.
  • Responsible for identifying when a patient should be requesting a new supply of medication by establish and maintain tracking tools, reports and other resources.
  • Identify when an action is needed by a provider, contact the provider, initiate the application and contact the patient.
  • Monitor posting of payments and reimbursements.
  • Track, monitor and report metrics to Supervisor timely.
  • Research errors, discrepancies and patient inquiries demonstrating premium customer service.
  • Responsive to questions, inquires from both internal and external customers.
  • Communicate concerns, discrepancies and other issues to Supervisor or appropriate leadership.