Client Representative, RevenueRx
Panacea Healthcare Solutions Inc, Hightstown, NJ, United States
The Client Representative is responsible for the day-to-day execution of patient drug assistance services for assigned hospital and healthcare facility clients. This role focuses on screening patients for eligibility, completing and submitting applications for manufacturer copay and free drug programs, managing orders, posting copay payments, and ensuring accurate and timely data entry in the program portal. The Client Representative plays a critical role in securing financial assistance for patients and optimizing reimbursement for partner facilities while maintaining compliance with program guidelines and hospital policies.
Patient Screening & Eligibility
Review patient records and financial information to identify individuals who may qualify for manufacturer copay, foundation support, or free drug programs. Communicate with patients, clinical staff, and financial counselors to collect required documentation and verify eligibility. Ensure all screening activities are performed in compliance with HIPAA and hospital privacy policies. Application Management
Complete and submit applications for copay assistance, charitable foundation funding, and free drug programs on behalf of patients. Track application status, follow up with manufacturers and foundations, and resolve any issues or documentation requests. Maintain organized records of all applications, approvals, and correspondence for audit and compliance purposes. Free Drug Ordering & Coordination
Coordinate with pharmaceutical manufacturers and hospital pharmacies to order approved free drugs. Ensure timely shipment and receipt of medications, monitoring inventory status when required. Verify that free drug use is properly documented and aligned with manufacturer program requirements. Copay Program Management
Post copay assistance payments to the appropriate patient accounts in coordination with hospital billing and finance teams. Track payment timelines, ensure funds are applied accurately, and resolve any discrepancies. Maintain documentation for all copay transactions for reconciliation and reporting. Data Entry & Reporting
Maintain accurate and current patient assistance data in the program portal, including application status, funding amounts, and outcomes. Generate and submit required reports to the Director and client stakeholders. Assist in compiling data for ROI analysis, compliance reviews, and operational performance tracking. Compliance & Quality
Adhere to all hospital, manufacturer, and regulatory requirements, including HIPAA and OIG guidelines. Follow standard operating procedures (SOPs) for all patient assistance activities. Participate in audits, quality reviews, and ongoing process improvement initiatives. Requirements
Education / Experience:
Associate or Bachelor's degree in healthcare administration, social work, pharmacy technician studies, business, or related field preferred. 2-4 years of experience in patient financial assistance, social work, hospital billing, pharmacy services, or revenue cycle operations. Working knowledge of manufacturer copay and free drug programs, charitable foundations, and healthcare billing processes is a plus. Strong attention to detail, organizational skills, and ability to manage multiple applications simultaneously. Proficiency in data entry and working with online portals and electronic health record systems. Excellent communication and customer service skills for interacting with patients, clients, and internal team members. Other Skills / Abilities:
"Self-starter" - ability to work independently with minimal supervision Computer skills with proficiency in Word, Excel, PowerPoint, Other Microsoft Office products Strong organizational skills and ability to multi-task Strong written and verbal communication skills High degree of interpersonal skills to effectively communicate with Panacea Healthcare Solutions Management Team and peers Performance Metrics:
Number and percentage of eligible patients successfully screened and enrolled. Timeliness and accuracy of applications submitted and approved. Total dollar value of copay and free drug support secured. Accuracy and completeness of data maintained in the program portal. Compliance with program guidelines and audit results.
Patient Screening & Eligibility
Review patient records and financial information to identify individuals who may qualify for manufacturer copay, foundation support, or free drug programs. Communicate with patients, clinical staff, and financial counselors to collect required documentation and verify eligibility. Ensure all screening activities are performed in compliance with HIPAA and hospital privacy policies. Application Management
Complete and submit applications for copay assistance, charitable foundation funding, and free drug programs on behalf of patients. Track application status, follow up with manufacturers and foundations, and resolve any issues or documentation requests. Maintain organized records of all applications, approvals, and correspondence for audit and compliance purposes. Free Drug Ordering & Coordination
Coordinate with pharmaceutical manufacturers and hospital pharmacies to order approved free drugs. Ensure timely shipment and receipt of medications, monitoring inventory status when required. Verify that free drug use is properly documented and aligned with manufacturer program requirements. Copay Program Management
Post copay assistance payments to the appropriate patient accounts in coordination with hospital billing and finance teams. Track payment timelines, ensure funds are applied accurately, and resolve any discrepancies. Maintain documentation for all copay transactions for reconciliation and reporting. Data Entry & Reporting
Maintain accurate and current patient assistance data in the program portal, including application status, funding amounts, and outcomes. Generate and submit required reports to the Director and client stakeholders. Assist in compiling data for ROI analysis, compliance reviews, and operational performance tracking. Compliance & Quality
Adhere to all hospital, manufacturer, and regulatory requirements, including HIPAA and OIG guidelines. Follow standard operating procedures (SOPs) for all patient assistance activities. Participate in audits, quality reviews, and ongoing process improvement initiatives. Requirements
Education / Experience:
Associate or Bachelor's degree in healthcare administration, social work, pharmacy technician studies, business, or related field preferred. 2-4 years of experience in patient financial assistance, social work, hospital billing, pharmacy services, or revenue cycle operations. Working knowledge of manufacturer copay and free drug programs, charitable foundations, and healthcare billing processes is a plus. Strong attention to detail, organizational skills, and ability to manage multiple applications simultaneously. Proficiency in data entry and working with online portals and electronic health record systems. Excellent communication and customer service skills for interacting with patients, clients, and internal team members. Other Skills / Abilities:
"Self-starter" - ability to work independently with minimal supervision Computer skills with proficiency in Word, Excel, PowerPoint, Other Microsoft Office products Strong organizational skills and ability to multi-task Strong written and verbal communication skills High degree of interpersonal skills to effectively communicate with Panacea Healthcare Solutions Management Team and peers Performance Metrics:
Number and percentage of eligible patients successfully screened and enrolled. Timeliness and accuracy of applications submitted and approved. Total dollar value of copay and free drug support secured. Accuracy and completeness of data maintained in the program portal. Compliance with program guidelines and audit results.