Account Care Educator - Specialty Pharmacy

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. **Job Snapshot** Location: 495 North Keller Road, Suite 100, Maitland, FL 32751 Shift: 10:00am-7:00pm EST, Monday through Friday Onsite Requirement: Onsite availability is required, with a possible hybrid option being offered once criteria is met. Hourly Pay: $23.00-$29.00 - 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. **COMPETENCIES:** - **Attendance/Punctuality** - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time. - **Customer Service** - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. - **Dependability** - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan. - **Professionalism** - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. - **Quality** - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. - **Teamwork** - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. - Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce. - Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. - Supportive, progressive, fast-paced environment - Competitive pay structure - Matching 401(k) with immediate…