UnityPoint Health Medication Assistance Advocate in Waterloo, Iowa

The Medication Assistance Advocate (MAA) will administer the Medication Assistance Program on behalf of the health system. This multi-faceted role requiring expertise in Pharmacy and Billing with an understanding of Case Management and Social Work facilitates financial assistance for patients related to medications. The MAA will qualify patients for enrollment, secure appropriate documentation, track requested and received products, track reimbursements and maintain professional working relationships with medical and hospital staff. The Advocate will utilize database management to develop site specific reports. This position also requires professional presentation and communication skills and a working knowledge of medications.a

Essential Functions/Responsibilities:

Medication Advocate - 90% annually

  • Utilization of software to run timely reports and receiving referrals from other members of the health care team.

  • Identify funding resources for which the patient may qualify.

  • Secure and review applicable paperwork/applications to facilitate patient enrollment in programs.

  • Execute logistics of assistance programs including, but not limited to, product replenishment, co-pay reimbursement, payment arrangements, prescription cards, coupons, and foundations.

  • Perform any necessary communication with patients to review all financial obligations.

  • For follow-up, utilize software reports and other tracking tools to identify the need for a new supply of medication to be requested for a patient where an application or an action by the provider is needed, initiate the application and contact the patient and provider for authorization.

  • Monitor postings of payments and reimbursements

Basic UPH Performance Criteria - 10% annually

  • Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

  • Demonstrates ability to meet business needs of department with regular, reliable attendance.

  • Employee maintains current licenses and/or certifications required for the position.

  • Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

  • Completes all annual education and competency requirements within the calendar year.

Education:

  • High school graduate or general education degree (GED)

Experience:

  • Pharmacy Technician experience

  • Proficient with computer applications, especially Microsoft Excel

  • Knowledge of medical billing and collection practices, familiarity with billing codes (i.e., HCPCS, DRGs, and CPT codes) preferred

License(s)/Certification(s):

  • As required by work site’s state Board of Pharmacy, registered as a Pharmacy Technician

  • As required by work site’s state Board of Pharmacy, Certified Pharmacy Technician

  • Valid driver’s license when driving any vehicle for work-related reasons.

Knowledge/Skills/Abilities:

  • Reads, writes, comprehends and speaks fluent English

  • Computer knowledge using word processing, spreadsheet, email, and web browser,

  • Provides written and verbal communication suitable to receiver of communication

Requisition ID: 2018-49853

Street: 1825 Logan Ave

Name: 9010 Administration

Posting Minimum: USD $14.78/Hr.

Name: Patient Assistance Program

FTE (Numeric Only; Ex. 0.01): 1.0

FLSA Status: Non-Exempt

Scheduled Hours/Shift: Days

External Company URL: http://www.unitypoint.org