Healthcare Financial Assistance Specialist

Description:

Job Summary

The Healthcare Financial Assistance Specialist holds a pivotal role in managing the operations of the Copay Assistance Department. This position demands an extensive understanding of various financial aid programs accessible to our patients. The incumbent is responsible for expertly navigating and securing the necessary resources, thereby ensuring comprehensive support for both our prescribers and patients in the financial aspects of their care.

Essential Functions

• Establish a comprehensive database of financial aid options, detailing their eligibility criteria, application procedures, and other pertinent information. Regularly update this database to ensure accuracy and relevance.
• Develop clear and concise communication protocols for advising patients and prescribers about financial aid opportunities. Ensure that all information is conveyed effectively and empathetically, both over the phone and through email correspondence.
• Implement strict compliance measures with all institutional, state, and federal regulations. Engage in ongoing professional development to stay informed about changes in laws and policies affecting financial aid and healthcare provision.
• Adhere to established pharmacy procedures when addressing inquiries. Maintain thorough documentation for each case, both in electronic and manual formats, to ensure accuracy and compliance.
• Design and supply necessary forms related to various financial aid processes, ensuring they are user-friendly and compliant with regulatory standards.
• Conduct regular training sessions for the team on handling and filing critical documents, such as applications, eligibility confirmations, marital status, and tax information.
• Implement systems to track and report team statistics and productivity. Utilize both electronic and manual methods to maintain accurate and up-to-date records.
• Develop strategies for de-escalating tense interactions. Train the team to recognize when situations should be escalated to management for further resolution.
• Develop expertise in troubleshooting issues with rejected secondary claims, ensuring swift and efficient resolutions.Research new financial resources.
• Implement a system for tracking the availability and allocation of foundation funds, ensuring optimal utilization for patient benefit.
• Continuously seek out and research new financial aid resources, expanding the options available to patients and prescribers.
• Foster a culture of service excellence, emphasizing courteous, informed, accessible, and professional interactions with all stakeholders.
• Regularly monitor the status of enrolled patients, taking proactive steps to manage enrollment expiration dates and facilitate timely re-enrollment.

Requirements:

Requirements

• Communication Skills: Demonstrates the ability to engage in professional, diplomatic, empathetic, and tactful communication. Must be adept at selecting the appropriate methods and levels of communication as relevant to the job's requirements.
• Team Orientation and Interpersonal Skills: Exhibits a strong motivation as a team player, capable of fostering and maintaining collaborative relationships at all organizational levels and with external entities.
• Cultural Competency: Possesses the ability to thrive in a multi-cultural environment, showing respect and sensitivity towards cultural differences.
• Adaptability to Change: Displays flexibility and a supportive attitude, adept at positively and proactively adapting to changes in a fast-paced and growth-oriented environment.
• Relationship Management: Skilled at providing a high level of interactive service to others, adept at building relationships and effectively addressing the identified needs of colleagues and clients.
• Technical Proficiency in Systems & Software: Demonstrated advanced knowledge in Microsoft Office suite and other relevant software programs related to the position.