Posted on Feb. 7, 2018
The primary goal of this position is to expedite the process of starting the patient on medicinal therapy and ensure the highest level of reimbursement is attained for the client’s manufactured product (medicinal therapy). This involves providing high-quality customer service and effectively interfacing with patients, the patient’s families, national payers, home care providers, and the medical doctor’s office.
Education requirementsHigh School Diploma or GED required. Bachelor’s Degree preferred
Experience requirements4-6 years of experience in the insurance, biotechnology or pharmaceutical industries; customer service and/or reimbursement
Health Insurance claims or patient accounting experience a plus.
QualificationsAbility to obtain and retain Pharmacy Technician License per state guidelines.
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.
ResponsibilitiesConduct benefit investigations, verify insurance benefits for patient and physicians’ office, and submit and obtain prior authorization 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.
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.
United BioSource Corporation (UBC) is an Equal Opportunity Employer