785 Patient Advocate jobs in the United States
Patient Advocate
Posted 5 days ago
Job Viewed
Job Description
Responsibilities:
+ Provide compassionate and clear explanations to primarily elderly patients regarding billing statements and charges.
+ Handle a minimum of 20 patient calls per day, maintaining accurate and detailed call logs.
+ Conduct internal audits (approximately 55% of the role) to ensure documentation accuracy and adherence to call flow standards.
+ Take meticulous notes during patient interactions and follow-ups.
+ Interpret and explain Explanations of Benefits (EOBs) to patients.
+ Identify and resolve account discrepancies such as duplicate payments or posting errors, coordinating with A/R teams for adjustments.
+ Educate patients on billing workflows and processes to enhance understanding and satisfaction.
+ Monitor high-balance or delinquent accounts and proactively reach out to responsible parties.
+ Navigate multiple systems simultaneously, including reading and printing relevant documents.
+ Maintain satisfactory audit scores and seek guidance to improve service quality.
+ Collaborate frequently with internal departments to resolve patient account issues.
+ Stay organized and follow through on tasks requiring coordination or adjustments.
+ Adhere to a hybrid work schedule, with in-office attendance twice weekly.
Required Skills & Tools:
+ Technical Proficiency:
+ Microsoft Teams and Outlook (including Scheduling Assistant)
+ Intermediate Excel (create worksheets, filter, sort)
+ EMR systems, clearinghouse platforms, and Zoom
+ Core Competencies:
+ Customer service excellence
+ HIPAA compliance
+ Collection management and payment posting
+ Healthcare reimbursement and billing collections
+ Patient billing and account resolution
Qualifications:
+ Minimum of 3 years of experience in healthcare patient accounts or revenue cycle management; 5+ years preferred.
+ At least 1 year of experience working directly with national payors and A/R follow-up.
+ Strong understanding of payer remittance reviews and insurance coordination.
+ Familiarity with medical billing and credentialing is a plus.
+ Goal-oriented with a problem-solving mindset and ability to multitask.
+ Exceptional verbal communication and phone etiquette.
+ Ability to handle confidential information with discretion and sound judgment.
Experience Level
Expert Level
Pay and Benefits
The pay range for this position is $20.60 - $25.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Brentwood,MO.
Application Deadline
This position is anticipated to close on Oct 17, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Patient Advocate
Posted 6 days ago
Job Viewed
Job Description
The Patient Advocate Representative is key in supporting patients with account balances, addressing billing inquiries, and assisting with payment-related issues. This role demands attention to detail, excellent communication, and efficient task handling. Candidates must be willing
+ All candidates must have experience and knowledge within the area below:
+ Mostly elderly patients asked about why they got a bill
+ Reliability is the most important
+ Minimum 20 calls per day; call log
+ Internal audits (55%) to check on documentation and call flow
+ Meticulous about note-taking
+ All candidates must have the ability to provide EOB Explanation of Benefits. In addition to the key, all candidates must know Teams and Outlook (scheduling assistant); intermediate Excel (creating a worksheet, filtering, sorting, etc.).
Additional Skills & Qualifications
- Address patient inquiries regarding medical bills, statement issues, and interpret Explanations of Benefits (EOBs)
- Verify account accuracy by identifying duplicate payments, posting errors, or corrections, and coordinate with A/R for necessary adjustments
- Educate patients on billing workflows and processes, maintaining high patient satisfaction.
- Track high-balance or delinquent accounts, proactively reaching out to patients or responsible parties (RP) for
- Manage multiple systems simultaneously, including reading and printing documents as needed.
- Achieve and sustain satisfactory audit scores, seeking support and guidance as needed to continuously improve accuracy and service quality.
- Engage in frequent interdepartmental communication to resolve issues effectively.
- Stay organized and follow through on assigned tasks requiring adjustments or coordination.
- Attend in-office work twice weekly, adhering to the hybrid schedule and maintaining reliability.
- Possess basic to intermediate skills in Excel, EMR systems, clearinghouse platforms, and Zoom.
- Education and Experience: A minimum of 3 years of experience in healthcare patient accounts or revenue cycle management is required. At least 5 years of experience is preferred, including 1 year working directly with national payors and accounts receivable follow-up.
- Proficient in payer remittance reviews, with strong attention to detail.
- Familiarity with insurance coordination, medical billing, and medical credentialing is preferred.
- Goal-oriented, with a problem-solving mindset and the ability to handle multiple tasks efficiently.
- Excellent interpersonal and communication skills for patient support and internal collaboration.
- Proficient in handling confidential information and using independent judgment.
Pay and Benefits
The pay range for this position is $20.60 - $25.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Brentwood,MO.
Application Deadline
This position is anticipated to close on Oct 16, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Patient Advocate | PRN

Posted 15 days ago
Job Viewed
Job Description
Avera Health
**Worker Type:**
PRN
**Work Shift:**
Day Shift (United States of America)
**Pay Range:**
_The pay range for this position is listed below. Actual pay rate dependent upon experience._
$20.50 - $27.00
**Position Highlights**
Day Shift- PRN as needed
**You Belong at Avera**
**Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.**
**A Brief Overview**
Responsible to provide assistance to patients and/or families as they navigate through all aspects of their medical paperwork, including insurance, billing, payment and collection process. This position is responsible to screen patients to determine potential for program assistance, complete application with patient and families, and follow up after discharge regarding application and maintain knowledge base of community agencies and resource to facilitate appropriate referrals, including maintaining a thorough understanding of eligibility requirements and current laws governing government programs. A successful advocate will communicate with patients, families, case managers, and providers to assess care plans and corresponding coverage needs and work in a compassionate and tactful manner to help facilitate access to and provide continuity of care. Advocates also work with other members of the care teams, insurers, financial, and administrative personnel.
**What you will do**
+ Insurance Screening: Obtain detailed patient insurance benefit information for all aspects of cancer care, including, but not limited to, outpatient services and prescription drugs. Verify insurance coverage and other medical benefits and acquire necessary referrals and authorizations.
+ Identify self-pay patients and evaluate coverage opportunities. Assist with completion of all needed applications for coverage, including applications for drug assistance. Provide accurate cost estimate details to patients prior to appointments.
+ Discuss benefits and other financial concerns with patients and/or family members during initial referral and during continuation of care. Identify and effectively communicate financial information to team members, patients, and their families with emphasis on identifying any potential patient out-of-pocket liability. Assist patients with questions concerning insurance, coverage, and other financial issues. Document in patient record as appropriate.
+ Obtain all necessary insurance authorizations. Obtain clinical information as needed from the medical record to answer clinical questions during authorization process. Communicate with care team and pharmacy staff to ensure that all treatments meet medical necessity. Draft medical necessity authorization request letters to include insurance contact information, patient history, and appropriate scientific literature. Manage both routine and complex insurance authorizations directly. Responsible for the coordination of level II appeals with oversight from the appropriate medical staff.
+ Work with patients, their families and team members to help address insurance coverage gaps via alternative funding options including, but not limited to, help with completing applications for copay assistance, compassionate use drug and/or Avera Patient Assistance. Assist patient and family members in completing work-related documentation including, but not limited to, FMLA, short term disability, long term disability, and work letters.
+ Maintain tracking mechanisms for status of authorization requests, referrals, and drug assistance. Regularly assesses updated information regarding insurance data, authorizations, and preferred providers. Track free drug assistance to ensure patients maintain coverage when initial enrollment ends.
+ Facilitate resolution of patient billing issues which may include appealing denied claims. . Work in collaboration with the patient, insurance, and business office.
+ Work as a member of a team of Patient Advocates to assist in other oncology departments as needed. Work with multiple disciplines and departments to ensure clear communication and prompt delivery of treatment. Accurately document all interactions related to advocacy within the EMR.
**Essential Qualifications**
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
**Required Education, License/Certification, or Work Experience:**
+ Associate's social work, coding, or a healthcare-related field and/or combination of experience and education.
+ 1-3 years Experience in healthcare and insurance verification.
**Expectations and Standards**
+ Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
+ Promote Avera's values of compassion, hospitality, and stewardship.
+ Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
+ Maintain confidentiality.
+ Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
+ Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.
_Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to_ _._
At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.
The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at .
Additional Notices:
For TTY, dial 711
Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.
Comprehensive Patient Advocate
Posted today
Job Viewed
Job Description
Key Responsibilities:
The skilled nurse delivers comprehensive care, incorporating evidence-based practices and adhering to established standards.
- Collaborates with healthcare teams to ensure seamless care coordination.
- Develops and implements individualized care plans, prioritizing patient needs and preferences.
- Monitors patient response to interventions, making adjustments as necessary to optimize outcomes.
- Communicates effectively with patients, families, and caregivers, ensuring informed decision-making and promoting empowerment.
- Participates in quality improvement initiatives, contributing to the advancement of nursing practice and patient care.
Patient Advocate - Patient Safety - Full Time
Posted today
Job Viewed
Job Description
Position Summary:
The Patient Experience Representative influences the systems, processes and behaviors that cultivate positive experiences across the continuum of care. They have an unwavering commitment to the field of patient experience and to transforming human experience in healthcare.
Experience:
Minimum 3 Years' Experience In a Healthcare Setting Required.
Education, License & Certification:
- Associate degree preferred or 5 years direct experience in a role of advocate in healthcare setting.
- Registered Nurse or other Healthcare related licensure preferred.
- Certified Patient Experience Professional (CPXP) required, or within 3.5 years of hire.
- Advocates for the needs of our patients and their representatives in a proactive, inclusive, empathetic, and positive manner.
- Supports organizational learning and a holistic approach to our patient’s needs.
- Provides guidance for new or inexperienced caregivers related to patient-service recovery.
- Collaborates with all caregivers to improve processes that directly impact patient and community perception.
- Oversees the internal system for managing patient/representative concerns and maintains applicable regulatory body compliance.
- Provides data analysis to identify trends specific to patient experience and develops corrective action plans based on those trends.
- Actively participates on or leads workgroups or committees related to patient advocacy.
- Supports the design and innovation of the Patient Family Advisory Council.
- Works collaboratively with the Patient Safety and Legal Departments.
- Travel for this position is sometimes required.
- It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position.
About Us
Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you’ll find staff members who have committed themselves to serving the community.
The Guthrie Clinic is an Equal Opportunity Employer.
The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
Court Liaison/Patient Advocate
Posted 3 days ago
Job Viewed
Job Description
We are pleased to announce the following available position: Court Liaison/Patient Advocate
Position Summary : To process commitment papers with county probate courts and provide communication between the court and facility staff related to commitment issues; to complete filing, conduct data entry, conduct audits and reviews, and to provide other support and assistance to the department as needed. As patient advocate, will investigate, resolve and report grievances to leadership. Assist with gathering, processing, and entering data; as well as creating and maintaining records and reports. Will be available to address patient/family complaints and act as a liaison between the complainant and hospital administration staff. Conducts new employee orientation presenting topics as directed.
Palmetto Lowcountry Behavioral Health, a subsidiary of UHS, is located on the beautiful Ashley River near Charleston, SC, Palmetto Lowcountry Behavioral Health lends a helping hand to people struggling with mental health and substance use disorders. At Palmetto Behavioral Health we are looking for exceptional people who share our mission of providing superior quality healthcare services and our culture of Service Excellence: treat everyone as a guest, demonstrate professionalism and excellence, practice teamwork.
Please visit us online at
Benefits include:
* Tuition Assistance
* Career development opportunities across UHS and its 300+ locations!
* Diverse programming to expand your experience and energize your career
* HealthStream online learning catalogue with plenty of free CEU courses
* Competitive Compensation & Generous Paid Time Off
* Excellent Medical, Dental, Vision and Prescription Drug Plans
* 401(K) with company match and discounted stock plan
* SoFi Student Loan Refinancing Program
* We participate in the Dept of Health and Human Services Health Resources and Service Administration (HRSA) Substance Use Disorder Treatment and Recovery (STAR) Program
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
QualificationsEducation: Bachelors degree required
Experience: Experience in psychiatric setting is preferred. Administrative Assistant experience also preferred. Competency in Microsoft Word and Excel required
Licensure/Certification: BLS and CPI required, certification may be obtained during new hire orientation.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS
and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Spanish Mobile Patient Advocate
Posted 9 days ago
Job Viewed
Job Description
Title: Mobile Clinic Patient Advocate
Department: Outreach and Enrollment
Status: Non-Exempt
Position Classification/Category: Administration
Level: N/A
Location: Assigned Clinic
Hourly Pay Range:
Reports To: Mobile Clinic Manager
Direct Reports: N/A
Summary of Position
The Mobile Clinic Patient Advocate is responsible for daily operations of the CRCHC Mobile Clinic including greeting patients, answering phone calls, scheduling appointments, accurate insurance verification, end of clinic closing, and communication with clinical staff. Under the direct supervision of the Mobile Clinic Manager, this position is responsible for timely and accurate recording of patient demographics, insurance information, and patient charges and payments. S/He ensures data is entered accurately into the electronic health record. S/He is also responsible for daily opening and closing of remote clinics.
This role provides advocacy, health education, and support to special populations including Migrant and Seasonal Farmworkers, Homeless and Public Housing Residents, Veterans, and other special populations groups to help decrease social determinants of health and barriers to access to health care services. The MC Patient Advocate also serves as a liaison between community partners and the health center.
Acts a conduit between patients and medical/behavioral professional and/or office staff by listening to the CRCHC staff and orally interpreting information into a patient's native language in layman's terms. This role collaborates with the health care team ensure clinicians obtain accurate information and patient/family are fully informed.
The Mobile Clinic Patient Advocate will complete basic health assessments, outreach, medical case management, referrals, arrange transportation to and from the clinic and follow-up to special populations community and their families. She/he must be able to read, write and speak English and Spanish fluently. This position requires flexible hours (including evenings), to provide support and outreach to our Special Population communities. Top of Form
Minimum Qualifications
Fluent in English and the specified language (s) both in verbal and written communication. Must be able to sit and stand for long periods of time. Ability to effectively maintain confidentiality of records and communicate with all levels of personnel.
• Experience: One year of clerical experience in an office setting
- Additional skills required: Requires excellent organizational, problem solving and critical thinking skills. Strong basic computer skills required. Able to maintain confidentiality and work collaboratively in a team environment. Knowledge of medical terminology in English and the specified language(s).
- Travel required: Ability to travel to all CRCHC locations and assist at all CRCHC special population clinics.
- Additional skills preferred: Bilingual in Spanish and English
Education: High school diploma or GED. Associate's degree preferred.
Certification(s)/Licensure: N/A
Physical Requirements:
The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job.
• Repetitive movement of hands and fingers - typing and/or writing.
• Occasional standing, walking, stooping, kneeling or crouching.
• Reach with hands and arms.
• Talk and hear.
Key Responsibilities
1. Complete front desk duties for mobile and special populations clinics including migrant, homeless and mobile clinic. Front desk duties include registration, complete appointment ticklers, and contacting patients to confirm patient appointments and no shows and verify paperwork.
2. Performs oral interpretive services between medical/ behavioral staff and patients/families to facilitate communication in a variety of clinical settings to overcome any language and cultural barriers to understanding.
3. Setting up and taking down mobile medical clinics at outreach sites -at migrant camps, camps and other gathering sites
4. Disseminates information to all special population patients regarding clinic services and state and local public services.
5. Schedule patient appointment following organization guidelines.
6. Interview patient to obtain personal and financial information.
7. Calculate sliding fee eligibility based on client income and enter patient charges appropriately.
8. Accurately and completely document patient information in the electronic health record to facilitate billing.
9. Review patient chart for records requiring updating and perform necessary updates.
10. Create patient claim, collect payment, and document payment in electronic health record. Reconcile payments at end of the day.
11. Scan documents into patient charts within 24 hours of visit.
12. Compose messages to provider/staff regarding patient communication.
13. Travel to other CRCHC locations in the event front desk staffing coverage is needed.
14. Responsible for safe and successful transportation of cargo van to and from community events. Before every trip, check the condition of the vehicle's operational and safety equipment to ensure that everything is in safe working condition. Report any van malfunctions or needed repairs to direct supervisor.
15. Develop, discover and attend community events in order to promote coverage options and the mission and services of the organization.
16. Represent the company professionally and positively to enhance and promote the core values and mission of the organization.
17. Participate in quality improvement activities by initiating or contributing to monitoring, measuring, analyzing, improving and/or controlling program goals, objectives and/or services.
18. Support current incentive, regulatory, and certification requirements (such as Meaningful Use, PCMH and UDS) through documentation, participation in initiatives, and other activities as directed.
19. Perform other duties as assigned.
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Specialty Pharmacy Patient Advocate
Posted today
Job Viewed
Job Description
Chandler, Arizona
**Department Name:**
Specialty Pharmacy
**Work Shift:**
Day
**Job Category:**
Pharmacy
***SIGN ON BONUS OF $5,000 AVAILABLE***
Pharmacy careers are better at Banner Health. We are committed to developing the careers of our team members. We care about you, your career today and your future. If you're looking to leverage your abilities - apply today.
We are hiring a **Specialty Pharmacy Patient Advocate,** at our Banner Health Corporate locating in Chandler. In this role you will be responsible for completing prior authorizations for a multitude of Banner clinics and communicating outcomes with providers and patients. You are also responsible for helping obtain financial assistance for patients in the form of copay cards, grants, and free drug applications. You will work closely with providers and third parties to reduce the cost hurdles associated with specialty medications.
**This is a full time position with hours of Monday - Friday, 8AM - 4:30PM.**
Recruiter to provide sign-on eligibility during the interview process.
Banner Pharmacy Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and services to make a difference in people's lives. Clinical Pharmacy Services is responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention. As a division, Banner Pharmacy services provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices.
POSITION SUMMARY
This position will determine, support and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third-party prior authorization and billing processes for pharmacy benefits. Assist patients with enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a face-to-face bedside-oriented service that delivers comprehensive fiscal options to patients and provide medication cost after transplant. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and appropriate step therapy to third-party for initial insurance approval. Verify eligibility, benefit provisions, and support the appeals process.
CORE FUNCTIONS
1. Coordinate with stakeholders to remove medication access barriers.
2. Maintain current knowledge of pharmacy regulations, payer agreements and assistance programs.
3. Provide timely medication benefit counseling to patients and hospital staff.
4. Accurate and timely execution of pharmacy projects as required.
5. Follow policies, procedures and regulatory requirements and perform other work assignments.
MINIMUM QUALIFICATIONS
Licensed and registered pharmacy technician in the state of practice, where applicable. Incumbents in Arizona are also required to provide the AZ Board of Pharmacy Wallet Card at time of hire.
Minimum of three years of healthcare and/or insurance/third party reimbursement experience required to include one year of technician experience required. Strong customer service focus, superior problem-solving abilities required. Proficiency in Microsoft Word, Excel, network, web-based and payer applications required. Ability to anticipate customer requirements and meet those needs in an appropriate and timely manner is required. Ability to prioritize organization requirements and track progress of multiple initiatives.
PREFERRED QUALIFICATIONS
Completion of a Pharmacy Technician Certification Program.
Associate's or bachelor's degree in business, healthcare or related field preferred. Prior authorization experience in specialty or retail pharmacy preferred. Knowledge of commercial, Medicare B, Medicare D and Medicaid pharmacy rules and regulations preferred. Knowledge and experience utilizing McKesson Enterprise, Cerner and Therigy preferred Bi-lingual preferred
Additional related education and/or experience preferred.
**EEO Statement:**
EEO/Disabled/Veterans ( organization supports a drug-free work environment.
**Privacy Policy:**
Privacy Policy ( Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
Patient Advocate - Social Worker
Posted today
Job Viewed
Job Description
**Required Qualifications (as evidenced by an attached resume):**
Master's Degree (foreign equivalent or higher) from a college or university program accredited by an agency recognized by the Council for Higher Education Accreditation (CHEA) in Social Work or a related field. Must have or obtain a license to practice as a Master Social Worker or license to practice as a Clinical Social Worker in New York State within one year of hire. Three (3) years of full-time administrative and/or clinical experience.
**Preferred Qualifications:**
One (1) or more years of full-time experience in a healthcare setting.
**Brief Description of Duties:**
Provide social services, individually or in groups, to patients and clients and their families with complex emotional or social problems, and to assume basic consultation, supervision, teaching, research, program development and/or administrative responsibilities in this assignment. Create awareness of medical transportation options for patient travel to/from dental appointments and assist patients with transportation processes. Work with families of minors and dependent adults regarding legal informed consent documentation and patient procedures. Assist with identifying language translation needs and aid with interpretation services during appointments. Continue to research community resources for patient and family needs for local assistance, and offer to patients, staff, and students. Knowledge of how to listen, speak, and intervene in patient psychosocial situations. Responsible for providing efficient and effective clinical operational support to enhance the delivery of oral health care services within the School of Dental Medicine by applying for government/agency assistance to include oral health care where applicable. Provide patient advocacy services for students, residents, staff, and faculty to include but not limited to management of patient concerns and sentinel events, behavior management, and communication issues between the patient and providers. Provide education to students, residents, staff, and faculty regarding social services, patient needs, difficult conversations, behavior management, and communications.
**Duties:**
**Care Coordination and Case Management:**
+ Develops working relationships with patient(s) and/or family (e.g., engagement, collaboration, advocacy, problem solving, etc.). Uses a social work body of knowledge & understanding of human behavior to remedy case related issues. Establishes rapport with patients and/or families.
+ Complies with required standards for medical/legal reporting situations. Adheres to mandatory reporting requirements for cases of suspected child or dependent adult abuse. Complies with procedures for other medical/legal situations (e.g., domestic violence, advance directives, etc.).
+ Advocates for patients and/or family, to help them cope with demands and stresses of treatment.
+ Communicates with patients and families regarding patient status and progress. Follow through with plans.
+ Assists patients in the application process for New York Medicaid and other social services and understand how coverage impacts patient care.
+ Identifies and navigates language translation services according to the School of Dental Medicine's policies. Updates foreign language translation service information housed in AxiUm and in clinics. Provides instructions and handouts on how to use services.
+ Answers questions and provides training on how to use foreign language interpretation services.
+ Educates providers and staff on the importance of using translation services and necessity of communication, specifically informed consent for dental care.
+ Receives, schedules, and confirms American Sign Language interpreters for all clinics.
+ Responsible for collecting and interpreting legal guardianship paperwork. Gather, interpret, and communicate legal guardianship and consenting rights information from the State Department Social Services for minors and dependent adults and communicate information with staff and providers for efficient processing.
+ Provides transportation resource information to referring community health center dental providers.
+ Gathers psycho-social histories, interprets functioning and needs, and makes resource recommendations to aid with costs or barriers to treatment plan. Coordinates connection to resources and application processes for appropriate resources. Offers follow-up assistance to patients and families. Answers questions related to resource recommendations.
+ Follows HIPAA regulations; treats all information received as confidential. Follows up on patient cases to ensures HIPAA is followed, especially in cases of abuse and neglect.
+ Educates faculty, staff, and students on the importance of monitoring and enforcing HIPAA.
+ Receives and triage referrals from outside agencies for minors, dependent adults, and care facilities, including coordinating internal and external programs for veteran assistance.
+ Documents patient interactions in patient management software, AxiUm. Reads chart history to interpret and understand patient needs. Contacts providers with questions or updated information for upcoming appointments.
**Education and Training:**
+ Teaches providers how to effectively communicate with their patients and discuss sensitive issues that arise in the dental appointment.
+ Educates providers and staff on using translation services and necessity of communication, specifically informed consent for dental care. Receives and schedules American Sign Language interpreters for all clinics.
+ Educates dental students, staff, residents, faculty, and referring agencies on how to diagnose and treat (communicate) related to common areas of concern related to social and psychological well-being in the dental setting.
+ Uses PowerPoint to create and present educational seminars to students, residents, staff and faculty for competency and growth. Creates Case based learning scenarios for education.
+ Prepares and gives presentations for outside meetings as appropriate. Offers feedback for presentations given to faculty and staff related to social barriers and enablers.
+ Provides training to new managers and coordinators on social work interventions, how to deal with difficult patients, service animals, transportation resources, office of the patient experience etc.
**Internal and External Collaboration and Communications:**
+ Communicates via various methods (phone, email, letters) with patients, parents of patients, caseworkers, etc. to help increase compliance with keeping appointments and following through with treatment.
+ Collaborates with Clinic Administration to assess patient care needs and problem solve necessary interventions. Implements interventions. Trains staff on interventions.
+ Works collaboratively with SDM clinics and departments, referring outside dental offices, community health care centers, and other outside agencies.
+ Provides information, consultation and professional support to interdisciplinary team members.
+ Provides information to team members regarding psychosocial issues and their impact. Identifies people in environmental issues for team members. Acts as a resource for the team.
+ Assists team members in dealing with patient care and work related challenges.
+ Advocates for the social work role with health care team members.
+ Negotiates and mediates among team members. Uses body of social work knowledge & understanding of human behavior to remedy team-related issues and help team members evaluate and enhance team functioning.
+ Identifies and communicates opportunities for service/program development.
+ Participates in the development of multidisciplinary tools to facilitate achievement of desired outcomes.
+ Welcomes the richness of talent from a diverse workforce and recognizes that diversity brings stimulation, challenge, and energy that contribute to a productive and effective workplace.
+ Provides feedback to management to maintain goals and service excellence protocol. Implement changes and improvements in workflow to maintain service excellence.
**Urgent Conflict Resolution:**
+ Responds to patient concerns in the Clinic in real time.
+ Respond to and de-escalate situations where the patient displays inappropriate behavior in the waiting area or treatment bays to reduce legal consequences, negative social media, and promote continued care/revenue for the Clinic.
+ Provides requested guidance on de-escalation of disturbances to staff when Director of Clinical Operations, Assistant Dean for Clinic Operations, and/or Associate Dean for Clinic Operations is off site/in meetings.
**Other duties or projects** as assigned as appropriate to rank and departmental mission.
**Special Notes:**
This is a full-time appointment. FLSA Exempt position, not eligible for the overtime provisions of the FLSA. Minimum salary threshold must be met to maintain FLSA exemption.
In addition to the employee's base salary, this position is eligible for $4000 UUP annual location pay, paid biweekly.
**Essential Position:** This has been designated as an essential position based on the duties of the job and the functions performed. Positions that are designated as such may be required to report to work/remain at work even if classes are canceled, and the campus is working on limited operations in an emergency.
For this position, we are unable to sponsor candidates for work visas.
Resume/CV and cover letter should be included with the online application.
**_Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws._**
If you need a disability-related accommodation, please call the university Office of Equity and Access (OEA) at or visit OEA ( .
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**The starting salary range (or hiring range) to be offered for this position is noted below, it represents SBU's good faith and reasonable estimate of the range of possible compensation at the time of posting.**
**Job Number:**
**Official Job Title:** : Senior Staff Assistant
**Job Field** : Administrative & Professional (non-Clinical)
**Primary Location** : US-NY-Stony Brook
**Department/Hiring Area:** : Dental Care Center
**Schedule** : Full-time
**Shift** : Day Shift **Shift Hours:** : 8:30 a.m. - 5:00 p.m. :
**Posting Start Date** : Oct 8, 2025
**Posting End Date** : Oct 22, 2025, 8:59:00 PM
**Salary:** : $0,000 - 80,000
**Appointment Type:** : Term
**Salary Grade:** : SL3
**SBU Area:** : Stony Brook University
**Req ID:**