Account Care Educator

ASSISTRX LLCMaitland, FL
$23 - $29Hybrid

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 involves identifying applicable programs, facilitating next steps, and holistically communicating the statuses of all patient support activities. The ACE acts as a liaison with other program-specific Assist resources to ensure positive outcomes for active patients. They also handle inbound calls for their territory or overflow calls from other territories, aiming for one-call resolution. Key responsibilities include ensuring protection is insured, identifying and reporting adverse events and safety information, and performing other related duties as assigned by management.

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.
  • 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.
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