United BioSource Corporation.

Case Manager

Location
Lake Mary, US
Salary
Competitive
Posted
15 Jul 2019
Closes
26 Jul 2019
Ref
1487
Discipline
Clinical Research
Hours
Full Time
Contract Type
Permanent
Experience Level
Experienced (non-manager)
POSITION SUMMARY

The primary purpose of this position is to provide day to day case management oversight and coordination of assigned case load to ensure parties responsible for tasks are completing them timely, as well as act as a primary resource for patients, healthcare providers and field reimbursement. The Case Manager is responsible for ensuring prior authorizations, reauthorizations and appeals are obtained timely as well as ensuring accurate documentation of payer information and patient status. In addition, the Case Manager is responsible for completing a prescreen to determine eligibility for additional services such as Injection Services, Copay, PAP if applicable.

ESSENTIAL FUNCTIONS

• Provide day to day oversight and coordination of case load to ensure all case elements and tasks are completed timely and ensure cases move through the process as required.

• Act as single point of contact responsible for prior authorization and appeal processing communications to patients, healthcare providers, field reimbursement representatives and other external stakeholders.

• Communicate patient benefits and responsibility timely and accurately.

• Assess and refer patients appropriately for special programs/services when appropriate.

• Performs quality checks on cases and reports trends to leadership.

• Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety and environmental programs and procedures.

• Other duties as assigned.

• Report Adverse Drug Events that have been experienced by the patient in accordance pharmaceutical requirements.

• Recognize a product quality complaint and forward caller/written information to a manufacturer.

QUALIFICATIONS

• BS degree or six years of relevant working experience.

• 0 - 2 years relevant experience in pharmacy benefit management.

• Previous insurance experience required.

• Medical Assistant, Social Worker or Sr. Reimbursement Specialist preferred.

• Proficient in MS Office applications.

• Knowledge of medical terminology and claims processing jargon.

• Excellent written/verbal communication to include providing clear instructions.

• Ability to multitask.

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

Similar jobs

Similar jobs