Remote Reimbursement Specialist — Growth & Impact

United BioSource

United States

Remote

USD 65,000 - 90,000

Full time

2 days ago
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Benefits offered by this job

Remote opportunities
Competitive salaries
401K with company match*
Tuition reimbursement
Flexible work environment
20 days PTO
Employee assistance programs
Medical, Dental, and vision coverage
HSA/FSA
Telemedicine (Virtual doctor)

Job summary

United BioSource is seeking a Sr. Reimbursement Specialist to support patient access and payer negotiations from a remote work setup.

You will investigate insurance coverage, obtain prior authorizations, and guide patients through the reimbursement process while ensuring accuracy and efficiency. The role requires 4–6 years in insurance/pharma, strong MS Office skills, excellent communication, and the ability to manage multiple priorities.

Qualifications

  • High School Diploma or equivalent required.
  • 4–6 years in insurance, biotech, or pharmaceutical industries; reimbursement experience preferred.
  • Proficiency with MS Office; database experience a plus.
  • Excellent written and verbal communication skills across stakeholders.
  • Ability to manage multiple priorities and meet deadlines.
  • Detail oriented with strong analytical skills.
  • Knowledge of third party billing, coding, medical terminology, and prior authorizations.
  • Willingness to travel as required; primarily remote position.

Responsibilities

  • Conduct benefit investigations, verify insurance benefits for patient and physicians' offices, and obtain prior authorizations as required.
  • Enter and maintain data in client database and monitor status of client case files.
  • Participate in conference calls with Client Sales Representatives and physicians’ offices regarding status of cases, drug orders, and funding.
  • Coordinate orders for product, shipment, and therapy initiation with pharmacy and patient.
  • Triage and respond to calls from patients, insurers, physicians, sales reps, pharmacies, and homecare agencies.
  • Identify REMS events and report as required; escalate potential risks to appropriate teams.
  • Educate patients and prescribers about program requirements and maintain quality, safety, and compliance.

Skills

High School Diploma
Biotech/Pharma experience
Insurance experience
MS Office
Communication skills
Multitasking
Attention to detail
Billing/Coding knowledge
Travel willingness

Education

High School Diploma/GED

Tools

MS Office

Job description

United BioSource is seeking a Sr. Reimbursement Specialist to support patient access and payer negotiations from a remote work setup.

You will investigate insurance coverage, obtain prior authorizations, and guide patients through the reimbursement process while ensuring accuracy and efficiency. The role requires 4–6 years in insurance/pharma, strong MS Office skills, excellent communication, and the ability to manage multiple priorities.

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