Patient Advocate

At Retina Consultants of Minnesota, we are the largest retina practice in the Midwest with a sterling reputation. We are a values-driven company committed to exceptional patient care and to the growth and development of our employees.

We are seeking a patient focused individual to be a Patient Advocate for a hybrid role(3 days in office / 2 days at home - after an initial 3 week training period) at our Edina, MN location.

The Patient Advocate assists patients in navigating the financial aspects of retinal care by coordinating medication assistance programs, counseling patients on insurance coverage and out-of-pocket costs, and helping secure copay or foundation support for high-cost drugs. This role partners with clinics, the business office, and pharmaceutical reimbursement specialists to ensure patients have access to needed treatments while maintaining a high standard of service and confidentiality.

Responsibilities:

• Submits and monitors Part B Drug applications via PX Technology. Communicate status of applications to the clinics, and patients.
• Counsel patients on their financial responsibilities for high-cost drugs and the process of applying for assistance.
• Provide resources and guidance for patients for copay assistance programs. For commercial insurance obtaining copay cards, Medicare or Medicare Advantage insurance help apply for Foundations to help pay the coinsurance, for the underinsured or no insurance help apply for the Free Drug programs.
• Answer the phone promptly to assist patients with questions and concerns.
• Inform the business office and clinic staff of changes in drug assistance policies and procedures.
• Participate in bi-weekly and quarterly meetings with drug company reimbursement specialists.
• Holds all patient accounts and medical information in strict confidentiality according to HIPAA guidelines, without exception.
• Assist the Business Office and Clinics with delinquent accounts prior to patient office visit notifying the clinic in MDI if they need to take any action steps at the patients next appointment.
• Performs other duties as assigned by the business office manager, CFO, administrator, or the physicians.

Required Skills, Abilities and Attributes:

• Must be organized, pay attention to details, and be motivated to provide excellent patient care
• Have proven excellent communications skills
• Be a collaborator who works cooperatively and respectfully with all doctors, supervisors, and co-workers
• Displays a desire to perpetually “Learn and Grow”
• Efficient and highly accurate user of applicable information technology and health care management systems
• Proven provider of professional and friendly of customer / patient service experience
• Experience with insurance and out-of-pocket patient responsibility preferred
• Awareness of drug assistance programs, policies, and procedures preferred
• High comfort level with medical terminology and financial conversations
• Excellent skills in ability to prioritize multiple tasks with attention-to-detail and accuracy in work
• High School Degree or GED

We offer excellent compensation and benefits, to include:

• Paid Holidays - 7 days per year
• Personal Time Off (PTO) - 16 days per year
• Health Insurance
• Health Reimbursement Account
• Health Savings Account
• Dental Insurance (free single coverage)
• Flexible Spending Accounts
• Basic and Supplemental Term Life Insurance (free single coverage)
• Long Term Disability (free single coverage)
• Long Term Care (free single coverage)
• Short-Term Disability
• Vision
• Legal Insurance
• Pet Insurance
• $250 in uniform (scrubs and shoes) reimbursement

About Retina Consultants of Minnesota (RCM):

RCM has 9 Minnesota locations - St. Louis Park, Edina, Edina Specialty, Woodbury, Blaine, Duluth, Maplewood, Anoka and Mankato.

Everything we do…. every decision we make…takes our Guiding Principles into consideration. Our guiding principles are:

• We exist to serve our patients. We will provide the best available medical skills, technology, and service. We will be their advocates. We will care for our patients as if they were members of our family. We will treat our patients with respect, dignity, and kindness.
• We are proud of our dedicated staff. We will strive to provide a rewarding career with opportunity for personal and professional growth. We will promote teamwork. We will provide a respectful and safe working environment.
• We are humbled that other doctors entrust their patients to our care. We will be available when we are needed. We will promptly communicate the results of patient evaluation and treatment. We will respect the referring doctors’ relationships with their patients.
• We recognize that we have a responsibility to our community. We will strive to be desire to perpetually “Learn and Grow”
• Efficient and highly accurate user of applicable information technology and health care management systems
• A good corporate citizen. We will function ethically. We will be prudent in our stewardship of healthcare resources.
• Medical advances are critical to our patients. We will remain at the forefront in the search for new knowledge and treatments of retinal disease. We will participate in clinical research. We will share our knowledge with our patients and referring doctors, and with our retinal colleagues around the world.

Job Type: Full-time

Pay: $22.50 - $27.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• What interests you in this position?

Experience:

• Customer or Patient Service: 3 years (Preferred)
• work related medical insurance: 2 years (Preferred)
• phone experience with medical patients: 2 years (Preferred)
• patient billing: 2 years (Preferred)

Work Location: In person