Director Rx Advocates Jobs (NOW HIRING)

Job Category: Customers Affairs

Full-Time

On-site

Gainesville, GA 30507, USA +1 more locations

Schedule: Full-Time, Monday – Friday, 9am - 6pm

Pay Scale: $19 - $21 per hour

Location: Gainesville, GA: In-Person (this position is not remote or hybrid)

Summary

As a Pharmacy Patient Advocate, you will be a crucial link between patients, medical providers, and our pharmacy. You will make a direct impact by eliminating barriers to medication access, ensuring patients receive their specialty medications in a timely and affordable manner. If you are a problem-solver with a background in pharmacy services and a desire to provide an exceptional patient experience, we encourage you to apply!

What You'll Do (Key Responsibilities include but are not limited to):

• Serve as a Patient Liaison: Act as the central point of contact between patients, physician offices, manufacturer programs, and insurance payers to resolve medication access issues.
• Navigate Benefits & Authorizations: Conduct comprehensive benefit investigations, manage prior authorizations, and coordinate benefits to minimize patient out-of-pocket costs.
• Manage Patient Communications: Handle inbound calls for prescription inquiries and outbound calls for patient welcome, refill scheduling, and provider follow-ups.
• Ensure Seamless Coordination: Coordinate timely and accurate medication deliveries with patients and providers, ensuring adherence to treatment plans.
• Maintain Accurate Records: Collect and maintain confidential patient information, including allergies, contact details, and payment methods, while upholding all HIPAA regulations.
• Support Clinical Integrity: Direct all clinical inquiries and patient concerns to a licensed pharmacist to ensure patient safety and proper care.
• Utilize Technology: Leverage pharmacy operating systems and other software tools to manage patient cases, track communications, and ensure efficient service delivery.

What You'll Bring (Qualifications & Skills)

• High school diploma or GED.
• Active Florida Pharmacy Technician Registration required.
• A minimum of two (2) years of experience in a customer service setting OR one (1) year of experience in specialty pharmacy.
• Prior authorization experience required.
• Strong knowledge of medical and pharmacy terminology.
• Benefit investigation experience preferred.
• Excellent communication skills.
• Basic computation skills.
• Bilingual – English and Spanish preferred.
• Microsoft Office or Google Suite proficiency.
• RMA or CMA certified preferred, but not required.

Work Environment & Physical Demands

This role is primarily sedentary and requires the ability to sit for extended periods (minimum of 7 hours). The position requires strong multitasking skills, attention to detail, and the ability to lift and/or move up to 20 lbs.

The Perks of Joining Our Team:

• Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
• Time to Recharge: Paid vacation and holiday pay.
• Focus on Your Wellness: We offer a robust Employee Wellness Program.
• Invest in Your Future: 401(k) with a company match.
• Support System: Employee Assistance Program provides confidential support and counseling.
• Get Rewarded for Referring Great People: Employee referral program.

Ready to start your rewarding journey with us? Apply today!

ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our recruitment team at HR@procarerx.com.

ProCare Rx is an Equal Opportunity Employer.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.