Medication/Copay Assistance Advocate

About Us

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.

Mosaic offers a wide array of benefits designed to meet individual employee needs, including concierge services, an employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics, and more. Compensation and recognition programs ensure employees feel valued at every stage of their journey.

Responsibilities

• Identify and evaluate patients for all areas of available assistance, including medication, implant, and skin substitute product donation, copay assistance, and other relevant financial assistance programs.
• Assist patients and family/caregivers in applying to assistance programs as needed.
• Work collaboratively with healthcare teams to obtain clinical and financial information for assistance program enrollment.
• Liaise between patients, physician offices and clinics, patient assistance programs, and facility financial services representatives.
• Utilize tools to manage and track patient assistance dollars, drug replacement, copay assistance, and applicable grant or foundation assistance.
• Coordinate with other departments to resolve issues and facilitate timely application submission.
• Research and review payer policies, guidelines, and compliance requirements.
• Escalate issues appropriately to leadership.
• Calculate medication dosages using ratio proportion and knowledge of metric measurement conversions.

Requirements

• High School Diploma (Required).
• Completion of a nationally recognized Pharmacy Technician Education Program (Required) OR Associate's Degree in Care Management or related field (Required).
• 1+ years of experience working with revenue cycle and/or patient assistance programs (Required).
• 1+ years of basic knowledge of health insurance pre-certification processes for medications and infusions, including CPT and J Codes (Required).
• Hospital pharmacy experience (Preferred).
• National or State Certified Pharmacy Technician certification, current or within 1 year (Required).
• Must be able to travel between various system facilities and off-site locations as needed (Required).

Skills and Abilities

• Basic Microsoft application skills.
• Excellent oral and written communication skills.
• Strong organization and time management skills, with the ability to establish priorities effectively.
• Dependable in both production and attendance.
• Professional communication via electronic fax, computer, email, Teams, and telephone.
• Research and review payer policies, guidelines, and compliance requirements.
• Creative problem-solving skills.
• Knowledge of medication J Codes, CPTs, and billing units.
• Ability to work independently and multitask as needed.
• Effective interpersonal skills to communicate professionally with diverse individuals and work collaboratively in a team environment.

Physical Requirements

• Ability to operate equipment on a continuous/repetitious basis, such as computers, telephones, and fax machines.
• Job requires sitting mostly, with occasional walking and standing.
• Essential mental abilities include analyzing and interpreting data, explaining issues thoroughly, adaptability to daily responsibilities, comprehension of written and spoken instructions, and collaboration to resolve billing issues.
• Essential sensory requirements include hearing, speaking, and visual skills.
• Limited exposure to hazards.