Senior Reimbursement Specialist

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 10%

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UBC

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

🏥 Healthcare

💼 Consulting

🧬 Biotechnology

Healthcare • Consulting • Biotechnology

UBC is a company dedicated to improving patient outcomes by connecting specialty therapies to patients in need. They provide modern and customized solutions focusing on access, safety, and evidence generation for biopharmaceutical products. UBC specializes in evidence development, risk management, and patient access, utilizing real-world data and innovative technologies to optimize the healthcare journey and ensure effective medication use.

📋 Description

• Provide high quality customer service to patients, patients’ families, national payers, home cares, and medical doctors’ offices • Conduct benefit investigations and verify insurance benefits for patients and physicians’ offices • Submit and obtain prior authorizations and obtain recertification for extended treatment or coverage • Accurately enter and maintain data in client databases and patient files • Monitor outstanding items and ensure files are complete and current • Participate in conference calls regarding case status, drug orders, and alternative funding • Coordinate product orders, product shipments, and therapy initiation with pharmacies and patients • Participate in call center activities and triage incoming calls • Serve as a single point of contact for an assigned group of prescribers, as needed • Identify and report events required by REMS requirements • Recognize adverse events, product quality complaints, and potential risk events and forward them for manufacturer reporting • Educate patients, prescribers, and others regarding program requirements and facilitate referrals • Maintain housekeeping, quality, production, safety, and environmental standards

🎯 Requirements

• High School Diploma/GED or equivalent experience • 4–6 years’ experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement • Health Insurance claims or patient accounting experience a plus • Computer proficiency in MS Office applications, with database experience a plus • Excellent written and verbal communication skills, with demonstrated ability to communicate with others at all levels • Ability to manage multiple priorities and meet deadlines • Detail oriented with good analytical skills • Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred

🏖️ Benefits

• Remote opportunities • Competitive salaries • Growth opportunities for promotion • 401K with company match • Tuition reimbursement • Flexible work environment • 20 days PTO • Paid Holidays • Employee assistance programs • Medical, Dental, and vision coverage • HSA/FSA • Telemedicine (Virtual doctor appointments) • Wellness program • Adoption assistance • Short term disability • Long term disability • Life insurance • Discount programs