Patient Care & Reimbursement Navigator

AssistRx, Inc.; United States; Remote; USD 48,000 - 60,000; Full time

Job summary

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.

Qualifications

• 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

Responsibilities

• 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

Skills

Medical reimbursement knowledge

Customer service

Billing/documentation

Communication skills

Problem solving

Interpersonal skills

Education

College degree preferred

High school diploma or equivalent

Tools

Microsoft Office

Web-based applications

Job description

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.