Account Care Educator - Apellis
About The Position
The Account Care Educator (ACE) is responsible for serving as the single point of contact for questions and inquiries from prescribers, patients, and field agents within their assigned territory. This role identifies applicable programs, facilitates next steps, and holistically communicates the statuses of all patient support activities. The ACE acts as a liaison with other program-specific Assist resources to secure outcomes for active patients, accepts inbound calls for their territory or overflow from others, and provides one-call resolution support. They also ensure protection is insured and perform other related duties as assigned by management. Additionally, the role involves identifying and reporting adverse events and safety information pursuant to program requirements.
Requirements
- 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.
- Demonstrates ability to identify, assess, and report adverse events.
Nice To Haves
- College degree is preferred or high school diploma or equivalent combination of education and experience.
Responsibilities
- Single point of contact for questions and inquiries from the prescriber, patient, and field 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.
- Ensures protection is insured.
- Performs other related duties as assigned by management.
- Identify and report adverse events pursuant to program requirements.
- Identify, document, and report safety information.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
