Access & Support Specialist II

United Therapeutics Corporation; Melbourne (FL); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical/dental/vision coverage

401k and ESPP

Paid time off & parental leave

Disability benefits

Job summary

United Therapeutics Corporation is seeking an Access & Support Specialist II to assist healthcare providers and patients with reimbursement support. You will handle benefits investigations, prior authorization inquiries, and patient assistance program activities while ensuring accuracy and compliance.

In this fast-paced role, you will build relationships, triage inquiries, and use UT tools to coordinate access to therapies.

Qualifications

• Minimum H.S. diploma or GED required.
• 2+ years in customer service/reimbursement or healthcare field.
• Experience with insurance providers.
• Strong customer service excellence and communication skills.
• Proficiency in reimbursement support and insurance coverage.
• Ability to review coverage information and handle prior authorizations/denials.

Responsibilities

• Provide limited, approved information on prior authorization, appeals, and denials for payors.
• Document and respond to all questions and calls promptly.
• Collect and conduct benefits investigation information efficiently.
• Communicate with providers, plans, patients, and representatives; escalate as needed.
• Use UT software/tools to coordinate patient assistance and reimbursement support.
• Record recertifications and maintain eligibility documentation.
• Ensure accurate reporting and up-to-date records for department.
• Follow UT policies; report misconduct or non-compliance.
• Adhere to UT code of conduct and SOPs.
• Provide data to management in a timely, complete manner.
• Collaborate with team, Field Reimbursement Management, and clients.
• Complete required training and stay updated on UT policies and programs.
• Assist on special projects and mentor new staff as needed.

Skills

Customer service

Reimbursement support

Insurance coordination

Communication skills

Team collaboration

Problem solving

MS Office

UT software

Education

High School Diploma or GED

Associate Degree (preferred)

Tools

UT software

MS Office Suite

Job description

On-Site

Melbourne, FL

Full time

R05337

California, US residents click here (https://www.unither.com/docs/UNITHER%20Applicant%20Notice%20-%20%2812-22-23%29%20Final%202.15.24%20Combined%20EN%20and%20French.pdf#page=9) .

The job details are as follows:

Who We Are

We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical therapies; and technologies that expand the availability of transplantable organs.

United Therapeutics (Nasdaq: UTHR) seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter’s pulmonary arterial hypertension (PAH). Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis (PF).

The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create manufactured organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option.

Who You Are

You are a customer-focused professional who enjoys helping patients and healthcare providers navigate coverage, reimbursement, and access challenges. You bring strong communication skills, attention to detail, and a passion for delivering an exceptional support experience.

You thrive in a fast-paced environment, confidently managing benefits investigations, prior authorization inquiries, and patient assistance program activities while ensuring accuracy and compliance. Resourceful and collaborative, you build strong relationships, solve problems effectively, and are motivated by the opportunity to help patients access life-changing therapies.

The Access & Support Specialist II provides limited reimbursement support services to healthcare providers and patients in keeping with United Therapeutics (UT) policies and procedures. This role also responds to requests for assistance, conducts eligibility reviews, and ensures that Patient Assistance Program participants meet ongoing requirements.

• Provide limited, approved, and otherwise publicly available information to explain prior authorization, appeal, and denial issues specific to different payors

• Ensure all questions and calls are documented and responded to in a timely manner

• Collect and conduct benefits investigation information in an efficient manner

• Communicate with healthcare providers, insurance plans, patients, and their authorized representatives as needed. Triage inquiries appropriately and elevate issues per established escalation protocol

• Effectively utilize UT software and tools for the coordination of the patient assistance program support, as well reimbursement support, and conduct assistance application completion verification

• Execute required tasks to record re-certification and other additional records while patient is provided access. Collect, categorize, and store necessary records to prove eligibility for patient assistance program

• Ensure accurate reporting of calls and activities to management. Ensure all department records are current, accurate, and well maintained

• Ensure ASSIST operations follow established policies and procedures. Report any instances of misconduct or non-compliance with UT policies and procedures

• Follow UT code of conduct, policies and procedures, standard operating procedures, and any other business rules applicable to ASSIST

• Provide information and data to management in a timely and complete manner

• Communicate and collaborate professionally with team members, Field Reimbursement Management Team, and clients

• Complete assigned training and education requirements. Maintain expertise and up to date knowledge of UT patient access and UT copay programs policies, procedures, business rules, related operations, and insurance requirement for UT products

• Complete special projects with limited oversight and supervision, and mentor new team members on an as needed basis

Minimum Requirements

• H.S. Diploma or General Education Degree (GED)

• 2+ years of experience in a customer service/reimbursement support environment and/or in a healthcare/life sciences related field

• Experience working with insurance providers

• Demonstrated excellence in customer service

• Proficient in reimbursement support and insurance coverage

• Ability to review available coverage information

• Able to effectively handle questions pertaining to prior authorizations, denials and appeals

• Essential telephone and electronic communication skills

• Demonstrated ability to work as a team member with a focus on exceeding customer/client expectations

• Problem solving skills

• Able to handle challenges in a professional manner

• Self-motivated and able to demonstrate initiative to work independently

• Strong interpersonal communication, time-management, organization and relationship building skills

• Able to work a flexible schedule if necessary

• Proficiency with MS Office Suite and internet applications

• Candidates must be able to work 8:30 a.m. - 5:30 p.m. OR 9:00 a.m. - 6:00 p.m.

Preferred Qualifications

• Associate Degree

• Specialty Medication benefit knowledge

Job Location

This is a fully onsite role at the Melbourne, FL location of United Therapeutics with shifts from 8:30 a.m. - 5:30 p.m. or 9:00 a.m. - 6:00 p.m.

At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good.

Eligible employees may participate in the Company’s comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit https://www.unither.com/careers/benefits-and-amenities

United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities.

We strive to be an organization that engages the minds, hearts, and most spirited efforts of each of our employees. Our sense of purpose transforms what we do from work into mission, occupation into vocation and achievement into success.

We challenge our employees with innovative and revolutionary projects, offer an environment which fosters high-level job performance and provide a highly competitive total rewards package. This is what makes United Therapeutics a stimulating place to work.