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UBC logo
UBC

Patients First. Powered by Evidence.

Bilingual Case Manager, Reimbursement

BilingualBilingualFull TimeRemoteMid LevelTeam 1,001-5,000Since 2003H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

27 days ago

Salary

0

Seniority

Mid Level

Bachelor Degree2 yrs expEnglishSpanish

Job Description

Bilingual Case Manager, Reimbursement

UBC

• As the single point of contact you will provide inbound and outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility • In addition to prioritizing and enhancing the patient experience, the reimbursement case manager will coordinate the patient's access to therapies, conduct the appropriate follow ups, and facilitate access to support services such as co-pay assistance programs and patient assistance programs (PAP) • Provide day-to-day oversight and coordination of caseload 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 report trends to leadership • Troubleshoot complex cases, spanning multiple disease-states, while interfacing with key stakeholders (internal/external) to ensure optimal start to therapy

Job Requirements

  • Fluency in English and Spanish is required
  • Bachelor’s degree or six years of relevant working experience
  • Two (2) or more years of relevant experience in pharmacy benefit management preferred
  • Medical Assistant, Social Worker or Senior Reimbursement Specialist experience preferred
  • Proficient in Microsoft Office applications
  • Knowledge of medical and claims processing terminology
  • Excellent written/verbal communication to include providing clear instructions

Benefits

  • Remote opportunities
  • Competitive salaries
  • Growth opportunities for promotion
  • 401k with company match*
  • Tuition reimbursement
  • Flexible work environment
  • 20 Days PTO Annually (accrued)
  • 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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