Patient Advocate

Tennessee Oncology - Nashville, TN

Full-time
Salary Grade: 113
Location: Nashville TN
FT/PT Status: Regular Full Time
Days: Monday - Friday
Hours: 8:00am-4:30pm

Responsibilities / Essential Functions: Provide financial counseling services regarding payment arrangements and financial assistance for uninsured and underinsured patients presenting a financial need. Records and maintains comprehensive documentation of patient enrollment activities.

  • Provide financial counseling services regarding payment arrangements and financial assistance for uninsured and underinsured patients presenting a financial need by phone or in person
  • Ensures all active patients are screened for eligibility opportunity for Co-Pay and Foundation assistance programs
  • Records and maintains comprehensive documentation of patient enrollment activities
  • Notifies appropriate department of determinations and outcomes via verbal and written communication as appropriate
  • Obtain information and signatures on financial assistance program applications and route timely for optimal financial turn-around
  • Assist Patient Accounting with any patient assistance needs
  • Answer patient calls and requests promptly and efficiently
  • Refer patients as appropriate to outside social services organizations
  • Follows Tennessee Oncology Patient Advocate Policy & Procedure parameters as outlined by management to ensure standardization of function.
  • Initiates enrollment and ordering of drug for patients without coverage for assigned clinics.
  • Properly documents all account activity in Patient Management and Electronic Medical Record systems.
  • Communicates with Drug Authorization Coordinator, clinical staff, and patient accounting regarding patient treatment and drug enrollment status.
  • Obtains self pay and absence of coverage notification from Drug Authorization Coordinator and checks for treatment needs.
  • Keeps current on all pharmaceutical and community resources for assistance and utilizes programs.
  • Completes daily evaluation of Pending Log, utilizing follow up date to prioritize workload.
  • Develops and promotes professional rapport with Pharmaceutical Representatives.
Knowledge, Skills & Abilities: • One year experience in a directly related role
  • Working knowledge of government and managed care benefit structures
  • Excellent written and verbal communication skills with the ability to effectively communicate and establish collaborative relationships with physicians, patients, clinical and administrative staff, and the public
  • Excellent customer service skills.
  • Knowledge of clinic office procedures, medical practice and medical terminology.
  • Ability to recognize, evaluate and solve problems.
  • Strong organizational skills and attention to detail.
  • Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), database and patient scheduling and other medical information systems.
  • Ability to operate various types of office equipment.
  • Billing Office experience desired.
Qualifications & Requirements: • High School diploma or equivalent required.
Physical Requirements: • Must be willing and able to lift up to 25 pounds.
  • Must be willing and able to travel to satellite clinics when necessary.