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Patient Assistance Program Representative Jobs in Texas

Prism Health North Texas

Financial Navigator

Dallas, TX

$18.50 - $24.25/hr

Meets with patients receiving Long-Acting Injectable (LAI) therapy to coordinate authorization, prior authorization, and Patient Assistance Program enrollments. * Communicates with patients about ...

CommUnityCare Health Centers

Pharmacy Technician

Austin, TX · On-site

$17 - $20.75/hr

Coordinate with Enterprise Pharmacy Benefits and Patient Assistance Program teams to ensure patient ... Ensure all actions, job performance, personal conduct and communications represent the organization ...

CommUnityCare Health Centers

Pharmacy Technician

Austin, TX · On-site

$17 - $20.75/hr

Coordinate with Enterprise Pharmacy Benefits and Patient Assistance Program teams to ensure patient ... Ensure all actions, job performance, personal conduct and communications represent the organization ...

Central Health

Pharmacy Technician

Austin, TX

$17 - $20.75/hr

Coordinate with Enterprise Pharmacy Benefits and Patient Assistance Program teams to ensure patient ... Ensure all actions, job performance, personal conduct and communications represent the organization ...

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Patient Assistance Program Representative information

What are some common challenges faced by patient assistance program representatives, and how can they be managed effectively?

Patient Assistance Program Representatives often encounter challenges such as navigating complex insurance policies, managing high call volumes, and addressing sensitive patient concerns regarding medication access. Effective time management and strong communication skills are essential for prioritizing tasks and providing clear information to patients. Utilizing team resources and staying updated on program requirements can also help representatives resolve issues efficiently, ensuring patients receive the support they need in a timely manner.

What are the key skills and qualifications needed to thrive as a patient assistance program representative?

To thrive as a Patient Assistance Program Representative, you need a strong understanding of healthcare processes, insurance verification, and program eligibility requirements, usually supported by a high school diploma or relevant experience. Familiarity with CRM systems, patient management software, and electronic documentation tools is typically required. Outstanding communication, empathy, and problem-solving skills help build trust with patients and coordinate effectively with healthcare providers. These skills ensure efficient program enrollment, positive patient experiences, and accurate handling of sensitive information.

What is the difference between Patient Assistance Program Representative vs Patient Services Coordinator?

AspectPatient Assistance Program RepresentativePatient Services Coordinator
Required CredentialsHigh school diploma or equivalent; some roles may prefer healthcare-related certificationsHigh school diploma or equivalent; healthcare or customer service experience beneficial
Work EnvironmentHealthcare facilities, pharmaceutical companies, or nonprofit organizationsHospitals, clinics, or healthcare offices
Employer & Industry UsageUsed in pharmaceutical, healthcare, and nonprofit sectors to assist patients with medication access

Both roles involve assisting patients, often requiring similar credentials and working in healthcare settings. The Patient Assistance Program Representative specifically focuses on helping patients access medications through assistance programs, while the Patient Services Coordinator handles broader patient support and coordination. Understanding these differences can help job seekers identify the best fit for their skills and career goals.

What is a patient assistance program representative?

A Patient Assistance Program Representative is a professional who helps patients access medications and healthcare services by guiding them through various assistance programs offered by pharmaceutical companies, non-profits, or healthcare providers. Their main responsibilities include assessing patient eligibility, completing and submitting necessary paperwork, and serving as a liaison between patients, healthcare providers, and program sponsors. They play a crucial role in ensuring that individuals with limited financial resources can obtain the medications and treatments they need.
What are popular job titles related to Patient Assistance Program Representative jobs in Texas? For Patient Assistance Program Representative jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Patient Assistance Program Representative jobs in Texas look for? The top searched job categories for Patient Assistance Program Representative jobs in Texas are:
What cities in Texas are hiring for Patient Assistance Program Representative jobs? Cities in Texas with the most Patient Assistance Program Representative job openings:
Patient Assistance Program Representative jobs near you
Infographic showing various Patient Assistance Program Representative job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Financial Navigator

Prism Health North Texas

Dallas, TX

$18.50 - $24.25/hr

Full-time

Posted 15 days ago

Job description

Our Core Values:

At Prism Health North Texas, our actions are guided by our Core Values. These values shape every aspect of the employee experience, including hiring, development, performance, and accountability. They are evident in how we serve our patients, engage with communities, and support one another. Our Core Values are:

  • We are solution seekers. 
  • We have a can-do attitude. 
  • We are mission driven. 
  • We care about people.


General Description:

The LAI Financial Navigator manages eligibility and insurance verification for patients receiving Long-Acting Injectable (LAI) therapy. The LAI Financial Navigator’s goal is to provide continuous documentation support by helping patients maintain eligibility requirements for service continuity. The LAI Financial Navigator works with patients to determine the payor source that should be used for the patient.

Responsibilities

Specific Responsibilities of the Job:

  • Meets with patients receiving Long-Acting Injectable (LAI) therapy to coordinate authorization, prior authorization, and Patient Assistance Program enrollments.
  • Communicates with patients about their financial responsibility for services.
  • Ensures eligible funding is in place for patients receiving Long-Acting Injectable (LAI) therapy to be able to receive services.
  • Responds to patients’ communication in a timely manner to prioritize eligibility maintenance.
  • Documents LAI eligibility status and any related notes in the Electronic Health Record.
  • Conducts funding verification, eligibility, and benefits each month and ensures all prior authorization is complete prior to delivery of patient services.
  • Assists patients in understanding insurance benefits and patient financial responsibilities prior to services being rendered.  
  • Determines need for Authorizations and assists with coordinating referrals for services.
  • Submits requests to insurance for Authorizations for patient services.
  • Coordinates prescription benefits and prior authorizations prior to delivery of patient services.
  • Manages patient’s health record to ensure that all required information is correct and complete in the Prism Health North Texas (PHNTX) system and information is available to provide services.
  • Manages enrollment and required recertifications for Patient Assistance Programs and other medication access programs.
  • Coordinates with Pharmaceutical companies to ensure processing of pending applications.
  • Identifies ways to improve work processes or methods and makes recommendations to the Financial Navigator Director for appropriate changes.
  • Other duties as assigned.
Required Skills

Required Knowledge, Skills and Abilities:

  • Proficiency in Excel, Word, and Outlook.  
  • Demonstrated knowledge and experience working with a diverse client population.
  • Demonstrated ability to handle multiple responsibilities to meet tight deadlines in a complex environment.  
  • Demonstrated knowledge of medical terminology and clinical processes.
  • Ability to make decisions related to appropriate client care.
  • Ability to effectively communicate in verbal and written formats.
  • Ability to establish effective working relationships with clients.
  • Ability to manage and work effectively in the required electronic medical record, database, or document portal.
  • Ability to work in a multi-site work environment.  


Education and Experience:

  • A high school degree/diploma or GED.  
  • 5 years of experience in insurance verification and billing in a comprehensive and specialty care environment.
  • Experience working with third-party billing service preferred.  
  • Certification in coding and billing preferred.  
  • Bilingual in English/Spanish is preferred.