Sr. Reimbursement Specialist

Employer
United BioSource Corporation.
Location
Lake Mary, Florida, United States
Salary
Competitive
Start date
31 Oct 2022
Closing date
30 Nov 2022

View more

Discipline
Clinical Research
Hours
Full Time
Contract Type
Permanent
Experience Level
Experienced (non-manager)
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Job Details



* This is a full-time and permanent role. The regular program hours are Monday to Friday, 8:00AM to 8:00PM ET. Regular shift will be 8 hours per day. *

Job Title: Sr. Reimbursement Specialist

Brief Description:

The primary goal of this position is to provide high quality customer service, effectively interface with patients, patient’s families, national payers, home cares and medical doctor’s offices to assist patient and medical provider in expediting the process starting the patient on client product, and ensure the highest level of reimbursement is attained for client product. Extensive knowledge in specialized functions with a wide and comprehensive acquaintance with and understanding of both general and specific aspects of the job and their practical application to complex problems and situations ordinarily encountered.

Specific job duties:
  • 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 utilize the client database to monitor outstanding items on each client case file. Ensure files are complete so team can determine the current status.
  • 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. May serve as single point of contact for an assigned group of prescribers.
  • Identify and report events as required by the REMS requirements for specified medication. Recognize adverse event, product quality complaint, potential risk events, and forward information to the appropriate team member for reporting to the manufacturer.
  • 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.

Supervisory Responsibility:

N/A

Desired Skills and Qualifications:
  • High School Diploma or GED required. Bachelor’s Degree preferred.
  • 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.


UBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class. We are committed to a diverse, equitable and inclusive culture that fosters respect for each other, our clients, and our patients.

ABOUT UBC

United BioSource Corporation (UBC) is a leading provider of pharmaceutical support services, partnering with life science companies to make medicine and medical products safer and more accessible. Our services support the full lifecycle of medicine and medical products, including development, commercialization, and long-term value and safety.

While UBC offers employment within Patient Support, Nursing, Pharmacy and Corporate, two main focus areas for the company are Clinical Development & Research and Safety & Risk Management. Members of the Clinical Development and Research teams help evaluate study protocol, target study population, recruit physicians and patients, and collect, clean, validate and report data. As a result, sponsors are able to submit findings to regulatory authorities or make a no-go decision in a timely and clear-cut manner. Additionally, our Safety and Risk Management teams develop, deliver, and report evidence to reinforce safe and appropriate product use.

Through our Patient Access services, we help patients begin therapy quickly and remain on therapy, building strong relationships with patients to ensure optimal care.
You can find out more by visiting

www.ubc.com

Company

Dedicated to Global Product Safety, Brand Loyalty, and Patient Access Strategies that Support the Full Product Lifecycle

United BioSource LLC (UBC) is a leading provider of pharmaceutical support services, partnering with life science companies to make medicine and medical products safer and more accessible. Our diverse suite of services helps bridge the gap between development and delivery and builds brand loyalty through patient access and adherence.

this is ubc

UBC is well known for our ability to generate authoritative, real-world evidence of product effectiveness, safety, and value to assist healthcare decisions and enhance patient care.

Our Mission - At UBC, our mission is to be the leading provider of late stage and patient-support services focused on safety, access, and value for the biopharmaceutical industry. UBC believes in diversity of people, thoughts, process, and corporate culture.  We are known for our industry-leading innovation, with deep domain expertise in data analytics, and other technology-related service offerings that give patients access to appropriate and meaningful care.

 

hub-icon-UBCPlease visit our Careers Hub on

https://www.pharmiweb.jobs/minisites/ubc-career-hub/

 

 

 

 

Find Us
Website
Telephone
+44 (0)20 8834 0100
Location
European Headquarters
26-28 Hammersmith Grove
London
LONDON
United Kingdon
W6 7HA
GB
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