Remote Benefits Verification Specialist - Reimbursement

UBC; Oregon; Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Remote opportunities

Competitive salaries

Growth opportunities for promotion

401K with company match

Tuition reimbursement

Flexible work environment

20 days PTO

Paid Holidays

Employee assistance programs

Medical, Dental, and vision coverage

HSA/FSA

Telemedicine (Virtual doctor)</nhaids)

Job summary

UBC is seeking a Sr. Reimbursement Specialist (Benefits Verification Specialist) to deliver high-quality customer service for patients, families, payers, home cares, and physicians.

The role focuses on expediting patient initiation, maximizing client product reimbursement, and coordinating with pharmacy and care teams. The ideal candidate has 4–6 years of experience in insurance/pharma, strong communication skills, and solid knowledge of prior authorizations and appeals.

Qualifications

• High School Diploma or GED.
• 4–6 years’ experience in insurance, biotech, or pharmaceutical industries; customer service and/or reimbursement.
• Health Insurance claims or patient accounting experience is a plus.
• Proficient with MS Office and database systems.
• Excellent written and verbal communication skills across all levels.
• Ability to manage multiple priorities and meet deadlines.
• Detail oriented with strong analytical skills.
• Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred.

Responsibilities

• Conduct benefit investigations and verify insurance benefits for patients and physicians’ offices.
• Submit and obtain prior authorizations as required by payer; recertification for extended coverage.
• Enter and maintain data in client databases; monitor status of client case files.
• Participate in conference calls with client sales reps, management and physicians’ offices.
• Coordinate orders for product, shipment, and therapy initiation with pharmacy and patient.
• Triage calls from patients, insurers, physicians, sales reps, and home care agencies; may serve as single point of contact for prescribers.
• Identify and report REMS-related events and adverse events to the appropriate team.
• Educate patients and prescribers on program requirements and facilitate referrals.
• Maintain good housekeeping and comply with safety, quality, and environmental programs.

Skills

Insurance experience

Reimbursement processes

Customer service

MS Office

Communication

Prior authorizations

Data entry

Attention to detail

Education

High School Diploma/GED

Tools

MS Office

Job description

UBC is seeking a Sr. Reimbursement Specialist (Benefits Verification Specialist) to deliver high-quality customer service for patients, families, payers, home cares, and physicians.

The role focuses on expediting patient initiation, maximizing client product reimbursement, and coordinating with pharmacy and care teams. The ideal candidate has 4–6 years of experience in insurance/pharma, strong communication skills, and solid knowledge of prior authorizations and appeals.