Senior Reimbursement Specialist

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UBC

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Biotechnology • Healthcare Insurance • Pharmaceuticals

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 • Effectively interface with patients, patients’ families, national payers, home cares and medical doctor’s offices • Assist patient and medical provider in expediting the process starting the patient on client product • Ensure the highest level of reimbursement is attained for client product • Conduct benefit investigations, verify insurance benefits for patient and physicians’ offices, and submit and obtain prior authorizations as required by payer • Obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval • Accurately enter and maintain data as required in client database and patient files and monitor outstanding items on each client case file • Participate in conference calls as needed with Client Sales Representatives, client management and physicians’ offices regarding status of cases, drug orders and status of alternative funding • Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient • Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Sales Reps, pharmacies and homecare agencies • Educate patients, prescribers, and others regarding program requirements, and facilitate referrals • Maintain good housekeeping techniques, adhering to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures

🎯 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 - This is primarily a remote position; however, occasional travel may be required based on client, business, or training needs.

🏖️ 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