Account Care Educator - Specialty Pharmacy

Job description

This role works directly with healthcare providers & insurance plans/payers to gather information about a patient’s insurance and the coverage provided for a specific pharmaceutical product. You will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. - 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. COMPETENCIES: - 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...