Gene Therapy Representative

Orsini Healthcare; United States; Remote; USD 68,197,000 - 92,266,000; Full time

Benefits offered by this job

Medical Coverage

Dental Coverage

Vision Coverage

401(k) with employer match

Paid PTO and holidays

Tuition reimbursement

Job summary

Orsini Rare Disease Pharmacy Solutions is seeking a remote Benefits Verification, Billing and Collections specialist. The role will be the daily point of contact for issue resolution on designated accounts and support high-dollar AR by problem-solving with manufacturers.

Qualified candidates have at least 3 years in patient accounts and knowledge of AR systems, with proficiency in Excel and the payer process. Preference given to applicants near Elk Grove Village, IL or Columbus, OH.

Qualifications

• > Minimum 3 years of experience in patient accounts, benefit verification and/or collections with specialty pharmacy experience.
• > Familiar with Account Receivable (AR) and operational health care systems.
• > Experience with billing and foundation assistance application procedures.

Responsibilities

• Effectively work on the billing and collections of designated manufacturer programs to maximize collection and minimize write-offs.
• Responsible for benefits verification and prior authorization process.
• Troubleshoot and resolve escalated AR and manufacturer issues/concerns.
• Ability to be flexible and assist with other projects when needed.
• Responsible for being the designated point person for daily tasks and communication to manufacturers.
• Meet manufacturer needs for drug products serviced in therapy team
• Collaborate with other functional areas to ensure quality service delivery.
• Interact with outside customers in a professional manner.

Skills

Patient accounts

Benefit verification

Collections

AR systems

Microsoft Excel

Tools

Microsoft Excel

Job description

Careers with real impact.

Every role at Orsini moves a patient closer to life-changing therapy. We partner with biopharma innovators, healthcare providers, and payers to make access simple, compassionate, and reliable - so no patient is left behind. Make your next role matter.

ABOUT ORSINI

Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™

OUR MISSION

Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.

CORE VALUES

At the heart of our company culture, the OrsiniLIVE IT Core Valuesserve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.

COMPENSATION & LOCATION

The compensation for this role is $28 per hour. This is a remote position; however, preference will be given to candidates located near one of our office locations in Elk Grove Village, Illinois, or Columbus, Ohio.

Compensation for candidates hired in other geographic locations will be reviewed and determined during the hiring process.

POSITION SUMMARY:

This role will include Benefits Verification, Billing, and Collections of Manufacturer specific programs. Will be the point of contact of daily communication of issue resolution on designated accounts. Assist with problem solving any issues with high dollar A/R accounts, assist in back-up for our Gene Therapy Operations Manager and collaboration of best practices for manufacturer project management

ESSENTIAL JOB DUTIES:

• Effectively work on the billing and collections of designated manufacturer programs to maximize collection and minimize write-offs.
• Responsible for benefits verification and prior authorization process.
• Troubleshoot and resolve escalated AR and manufacturer issues/concerns.
• Ability to be flexible and assist with other projects when needed.
• Responsible for being the designated point person for daily tasks and communication to manufacturers.
• Meet manufacturer needs for drug products serviced in therapy team
• Collaborate with other functional areas to ensure quality service delivery.
• Interact with outside customers in a professional manner.
• Reach out to sites to schedule meetings and/or site visits as well as inform them when we have new products.

REQUIRED KNOWLEDGE, SKILLS & TRAINING

• Minimum 3 years of experience in patient accounts, benefit verification and/or collections with specialty pharmacy experience
• Familiar with Account Receivable (AR) and operational health care systems.
• Experience with Microsoft applications (Excel, Word, PowerPoint, etc.).
• Familiar with the authorization process, appeal process and other processes/procedures integral to AR collection efforts.
• Experience with billing and foundation assistance application procedures.
• Excellent organizational and time management skills; ability to multi-task and change priorities quickly; detail oriented
• Able to problem solve and assist coworkers through the thought process of solving problems.
• Collaborate on best practices for efficiency and streamlines communication throughout teams.
• Experience making outbound calls to inform facilities of new products and to set up meetings.

EMPLOYEE BENEFITS

We offer a comprehensive benefits package designed to support your health, financial security, and overall well-being:

• Medical Coverage, Dental, and Vision Coverage
• 401(k) with employer match
• Accident and Critical Illness coverage
• Company-paid life insurance options
• Generous PTO, paid holidays, and floating holidays
• Tuition reimbursement program.

Equal Employment Opportunity

Orsini Rare Disease Pharmacy Solutions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or present or past disability (unless the nature and extent of the disability precludes performance of the essential functions of the job with or without a reasonable accommodation) in accordance with local, state and federal laws.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

E-Verify Participation Notice

We participate in the federal E-Verify program to confirm the identity and employment eligibility of all newly hired employees.

All offers of employment are contingent upon the successful completion of Form I-9 and verification through the E-Verify system.

For more information about E-Verify, please review the official notices below:

E-Verify Participation Poster (English & Spanish): https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf

Right to Work Poster (English & Spanish): https://www.e-verify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster.pdf