Patient Assistance Program (PAP) Coordinator

Job Description

Job Description

JOB RESPONSIBILITIES

• Process PAP applications electronically, utilizing the pharmacy CRM software systems and secure designated email accounts.
• Process fax queues, emails, answer incoming calls and adhere to all thresholds for PAP case review and management.
• Maintain clear communication and documentation with provider offices, patients and pharmacy account managers.
• Work closely with provider office point of contact(s) to obtain updated information in order to obtain missing supporting documents that are required for PAP eligibility.
• Input accurate and clear data entry of call logs, important case notes and authorization details into CRM system.
• Verify the accuracy and quality of data entry within PAP case documentation.
• Ability to confirm whether a therapy is complete and if a PAP renewal is needed.
• Initiate and follow-up on PAP renewal requests as assigned.
• Create and complete PAP data reports as assigned by the reimbursement director.
• Cross trained in the area of Rx Prior authorizations and Rx Appeal workflows to assist fellow reimbursement team members as needed.
• Contact patient’s insurance company to verify coverage, initiate authorizations, provide clinical documentation and follow up on previously submitted authorizations.
• To safeguard, protect and always demonstrate proper handling of protected health information in accordance with all HIPAA laws and ProCare Rx policies / procedures.
• Assess, prioritize and resolve client issues using good listening and comprehension skills.
• Works cooperatively and provides coverage for responsibilities of co-workers when assigned or as the need arises.
• Assist the reimbursement director with supervising and on-going training of new and / or existing PAP coordinators.
• Demonstrate working knowledge of all facets of the role, relevant regulations & organizational and departmental policies & procedures.
• Escalate issues to management as appropriate.
• Perform other duties as assigned to support ProCare Rx / ProModRx.

QUALIFICATIONS AND REQUIREMENTS

Previous Experience :

Education :

Physical Demands :

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 official recruitment team at (678) 248-4755 or email us at HR@procarerx.com.

ProCare Rx is an Equal Opportunity Employer.