Patient Care Advocate
Parkview Health Services · Rocky River, Ohio, US
Job Location: Matrix - OH - ROCKY RIVER, OH 44116Position Type: Full TimeSalary Range: $22. 00 - $28.
Job description
Job DetailsJob Location: Matrix - OH - ROCKY RIVER, OH 44116Position Type: Full TimeSalary Range: $22.00 - $28.00 HourlyJob Shift: 1st ShiftJob Category: PharmaceuticalDescription of Responsibilities The patient care advocate serves as a crucial liaison for ensuring patients have timely access to necessary medications. This position is responsible for efficiently processing prior authorizations and appeals for both pharmacy and medical benefits, working closely with clinics and internal teams. This role requires a strong understanding of medication access processes, excellent communication skills, and a commitment to patient advocacy. Reporting Relationship: Clinical Nurse Coordinator: Scope of Supervision: Responsibilities of the Patient Care Advocate include the following: Complete prior authorization requests on behalf of clinics, ensuring timely and accurate processing along with communicating determination with clinic point of contact. Prepare and submit appeals for denied prior authorizations, ensuring all necessary documentation is included and deadlines are met. Address client inquiries and concerns promptly and professionally, providing effective solutions. Communicate eff...