Remote Case Manager - Pharma Benefits & Patient Support

United Biosource Corporation

Oregon

Hybrid

USD 52,000 - 68,000

Full time

9 days ago

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Benefits offered by this job

Remote opportunities
Competitive salaries
Growth opportunities for promotion
401K with company match
Tuition reimbursement
Paid Time Off
Paid Holidays
Medical, Dental, and vision coverage
HSA/FSA

Job summary

United Biosource Corporation in the United States seeks a Case Manager to oversee day-to-day caseload, coordinate tasks, and serve as the primary point of contact for patients, providers, and field reimbursement.

You will ensure prior authorizations and appeals are obtained promptly, document payer information accurately, and guide patients to eligible programs, with a focus on quality, compliance, and timely therapy initiation.

Qualifications

  • Bachelor's degree or six years of relevant working experience.
  • 2+ years of PBM experience.
  • Knowledge of medical/claims processing terminology.
  • Excellent written and verbal communication skills.

Responsibilities

  • Oversee caseload to ensure all elements are completed timely.
  • Serve as single point of contact for prior authorization and appeals communications.
  • Communicate patient benefits and responsibilities clearly and accurately.
  • Refer patients to appropriate special programs/services.
  • Perform quality checks and report trends to leadership.
  • Ensure compliance with safety, quality, and regulatory programs.

Skills

Communication
Critical thinking
Multi-tasking
MS Office

Education

Bachelor's degree or equivalent experience

Tools

MS Office

Job description

United Biosource Corporation in the United States seeks a Case Manager to oversee day-to-day caseload, coordinate tasks, and serve as the primary point of contact for patients, providers, and field reimbursement.

You will ensure prior authorizations and appeals are obtained promptly, document payer information accurately, and guide patients to eligible programs, with a focus on quality, compliance, and timely therapy initiation.

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