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Senior Reimbursement Specialist

Reimbursement SpecialistGeneralFull TimeRemoteSeniorTeam 1,001-5,000Since 2003H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

11 days ago

Salary

0

Seniority

Senior

High School4 yrs expEnglish

Job Description

Senior Reimbursement Specialist

UBC

• Provide high quality customer service • Effectively interface with patients, patient’s families, national payers, home cares and medical doctor’s offices • Conduct benefit investigations, verify insurance benefits for patient and physicians’ offices • 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 • 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 • 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

Job 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

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Job Closed