Senior Reimbursement Specialist

🕒 July 1

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 55%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 • Assist patients and medical providers in expediting the process of starting patients on client products • Ensure the highest level of reimbursement is attained for client products • 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 the client database and patient files • Monitor outstanding items on client case files and ensure files are complete • Participate in conference calls regarding case status, drug orders, and alternative funding • Coordinate product orders, product shipment, and therapy initiation with pharmacies and patients • Participate in call center activities and triage incoming calls • Serve as a point of contact for assigned prescribers • 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 • Ability to travel as required • Candidates must be available to work a full-time assigned shift between 8:00 AM and 9:00 PM Eastern Time • Candidates outside the Eastern Time Zone must be able to work their assigned shift based on Eastern Time business hours

🏖️ Benefits

• Remote opportunities • Competitive salaries • Growth opportunities for promotion • 401K with company match* • Tuition reimbursement • Flexible work environment • 20 days PTO • 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