Account Care Educator

AssistRx, Inc.; United States; Remoto; USD 48.000 - 60.000; Tempo pieno

Descrizione del lavoro

AssistRx, Inc. is seeking an Account Care Educator to support prescribers, patients, and field agents across an assigned territory.

You will coordinate with reimbursement programs, handle insurance billing, claims submission, and denial resolution for Medicare and commercial plans while ensuring patient safety reporting. The role emphasizes one-call resolution, cross-team collaboration, and accurate documentation of payments and program data.

Competenze

• College degree preferred or HS diploma or equivalent
• Experience in Medical Reimbursement or Customer Service
• Submitting billing data to insurance providers
• Processing claims and resolving denials
• Achieving maximum reimbursement for services
• Medicare and Commercial insurance claim submission
• Documenting and reporting payment information
• Proficient use of Microsoft Office and email

Mansioni

• Serve as single point of contact for prescribers, patients, and field agents by territory
• Identify applicable assistance programs and guide next steps
• Communicate statuses of all patient support activities
• Coordinate with program resources to secure patient outcomes
• Handle inbound calls and provide one-call resolution
• Ensure insurance protections are in place and protect patient information
• Identify and report adverse events and safety information

Conoscenze

Medical reimbursement knowledge

Customer service

Billing/documentation

Communication skills

Problem solving

Interpersonal skills

Formazione

College degree preferred

High school diploma or equivalent

Strumenti

Microsoft Office

Web-based applications

Descrizione del lavoro

Overview

The Account Care Educator (ACE) serves as a single point of contact within the Patient Solutions department, supporting prescribers, patients, and field agents across an assigned territory. This role bridges communication between patients and support programs, identifying appropriate assistance programs, guiding next steps, and coordinating with other Assist resources to help patients achieve successful outcomes. ACEs handle inbound calls, aim for one-call resolution, and manage the reimbursement process, including insurance billing, claims submission, and denial resolution for both Medicare and commercial insurance. The role also carries responsibility for identifying and reporting adverse events and safety information in accordance with program requirements.

Responsibilities

• Single point of contact for questionsandinquiriesfromtheprescriber, patient, andfield agent by territory.
• Identifies applicable programs and facilitates next steps.
• Holistically communicates the statuses of all patient support activities.
• Liaison with other program-specific Assist resources to secure outcomes for active patients.
• Accepts inbound calls for assigned territory or overflow of other territories and provides one call resolution support.
• Ensuresprotectionisinsured.
• Performs other related duties as assigned by management.
• Identify and report adverse events pursuant to program requirements.
• Identify, document, and report safety information.

Qualifications

• College degree is preferred or high school diploma or equivalent combination of education and experience.
• Other skills required
• Previous work experience in Medical Reimbursement or Customer Service.
• Submitting billing data to appropriate insurance providers
• Processing claims and resolving denial instances
• Achieving maximum reimbursement for services provided
• Completing Medicare and Commercial insurance claim submission.
• Documenting and reporting payment information.
• Professional level skills in computer use, including but not limited to Microsoft Office, email, web-based applications, and keyboard skills.
• Demonstrated strong written and verbal communication skills with providers, patients and insurance companies.
• Interpersonal skills to facilitate work with a wide range of individuals and groups from culturally diverse publics.
• Problem solving skills.

Pay Range

USD $23.11 - USD $28.89 /Hr.