Senior Pharmacy Patient Advocate

Patient Enrollment & Onboarding:

• Review, process, and complete patient enrollment applications for PAP and specialty programs.
• Pre-screen and verify patient eligibility based on program criteria.
• Assist with coordination of medication shipment and fulfillment.

Benefits Verification & Payer Management:

• Perform comprehensive benefits verifications across commercial, Medicare, and Medicaid plans.
• Assess patients' financial ability and guide them toward assistance programs.
• Identify and track prior authorizations and appeals for timely coverage.

Longitudinal Case Management & Therapy Adherence:

• Maintain continuous ownership of patient cases from enrollment through active therapy.
• Conduct proactive outreach to share program details and resolve refill or insurance issues.
• Self-audit case activities to identify errors and adherence risks.