Bilingual Inbound Patient Advocate (Spanish) at SmithRx

Plano, Texas, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Pharmacy Benefit ManagementIndustries

Requirements

Bilingual proficiency in English and Spanish, with the ability to switch effortlessly and provide clear, compassionate explanations
Good understanding of Patient Access savings programs to effectively explain them to members
Ability to handle inbound communications via phone, email, and other channels, ensuring seamless support for Spanish-speaking members
Patient-centric mindset with high sense of urgency, compassion, and empathy
Strong organizational skills to organize case details, track multiple tasks, and maintain impeccable documentation in a fast-paced environment
Ability to work with sensitive information while upholding PHI and HIPAA standards
Knowledge of organizational processes and policies to maintain compliance and service quality
Capacity to achieve or exceed key performance indicators and service level expectations

Responsibilities

Educate patient members about pharmacy benefits and help source medications through various programs in English and Spanish
Provide support to members, providers, and pharmacies via inbound phone calls, email, and other channels, focusing on one-call resolution
Handle inbound calls for enrollment in drug savings programs and resolve inquiries for English and Spanish-speaking callers
Coordinate with members, physicians, drug manufacturers, and pharmacies to facilitate enrollment, ensuring effective communication including in Spanish
Manage calls by accurately resolving issues, demonstrating compassion, meeting compliance requirements, and ensuring hassle-free experiences
Gather missing information to successfully resolve cases with emphasis on one-call resolution
Maintain responsiveness, timeliness, and follow-up with impeccable documentation for each member interaction
Stay updated on processes and policies to ensure compliance and high service quality

Skills

Spanish

Customer Service

Patient Advocacy

Pharmacy Benefits

Inbound Communications

Enrollment Programs

Call Resolution

SmithRx

Pharmacy benefit management with transparent pricing

About SmithRx

SmithRx operates as a Pharmacy Benefit Manager (PBM) that focuses on managing prescription drug plans for self-insured employers and plan sponsors. The company uses a transparent pricing model called "Pass Through Pricing," where it charges only an administrative fee and passes all rebates from prescriptions directly to clients and their members. This model contrasts with traditional PBMs that often inflate drug prices and retain rebates for profit. SmithRx's clients benefit from a technology platform that utilizes real-time data to improve service delivery, ensuring efficient and high-quality pharmacy benefit management. The company also provides a concierge service to enhance support for both members and clients. SmithRx aims to simplify pharmacy benefits while maximizing value for its clients through transparency, advanced technology, and exceptional customer service.

San Francisco, CaliforniaHeadquarters

2016Year Founded

$94.8MTotal Funding

SERIES_CCompany Stage

HealthcareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Holidays

Wellness Program

Commuter Benefits

Parental Leave

Mental Health Support

Professional Development Budget

Risks

Increased competition from technology-driven PBMs like Capital Rx could erode market share.

Rapid technological advancements may require costly updates to SmithRx's platform.

Potential regulatory scrutiny on PBM pricing models could impact SmithRx's business model.

Differentiation

SmithRx uses a transparent 'Pass Through Pricing' model, unlike traditional PBMs.

The company leverages real-time data for efficient pharmacy benefit management services.

SmithRx offers concierge-level service, enhancing customer satisfaction and support.

Upsides

SmithRx secured $60M in Series C funding, indicating strong investor confidence.

Partnership with Banjo Health enhances prior authorization processes using AI technology.

Collaboration with TheracosBio offers cost-effective drug options for Type 2 Diabetes.

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