Senior Reimbursement Specialist

🔥 0 minutes 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

• Conduct benefit investigations and verify insurance benefits for patients and physicians’ offices • Submit and obtain prior authorizations as required by payers • Obtain recertification for cases requiring extended treatment or coverage • Accurately enter and maintain data in client databases and patient files • Monitor outstanding items and ensure files are complete • Participate in conference calls with Client Sales Representatives, client management, and physicians’ offices • Coordinate product orders, 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 assigned prescribers when required • Identify and report events according to 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 • 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 • Comply with all applicable company, state, and federal safety and environmental programs and procedures

🏖️ 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

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