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Patient Resource Advocate

GWU Medical Faculty Associates

This is a Full-time position in Washington, DC posted June 10, 2021.

Position Summary

Identity and register eligible patients for drug and infusion copay assistance, copay cards, and grants that provide reimbursement for incurred medical services.

Essential Duties and Responsibilities include the following.   To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Other duties may be assigned.

  • Contact and interview patients for appropriateness of filing applications(s) for patient assistance eligibility.
  • File a timely, accurate and complete application(s) for eligibility medical coverage program to ensure program covers all available dates of service.
  • Assist patients with obtaining the needed verifications and documentation (with patient’s authorizations) that is required to determine eligibility.
  • Monitor and assist with the application process including attending interview when
  • Report eligibility determinations to appropriate nThrive billing and revenue staff.
  • Keep current with trends and developments related to essential job competencies.
  • Maintain confidentiality of patient health information in compliance with HIPAA regulations.
  • Perform other job-related duties or special projects as required.

    Qualifications

    Education        

    • Associates degree or 3-5 years of relevant work experience in an infusion or oncology setting.

     Experience      

    • Extensive knowledge of eligibility policy rules and processing requirements for oncology and infusion drugs. Perform and report monthly and quarterly analytics on registration, approval and denials.
    • Must have experience with commercial payers.
    • Strong investigative, analysis and judgement skills.
    • Execute and work independently.
    • Must have excellent spelling and grammar; good phone skills; basic math skills; organized; sets priorities; meets deadlines; able to multi-task; carefully proofs own work.
    • Must demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.