Remote Reimbursement Specialist, Pharma Solutions

UBC; Oregon; Hybrid; USD 60,000 - 85,000; 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)</name

Wellness program

Adoption assistance

Short term disability

Long term disability

Life insurance

Discount programs

Job summary

UBC, a pharmaceutical support industry leader in the United States, seeks a customer service and reimbursement specialist to interface with patients, providers, and payers. The role emphasizes expediting the patient onboarding process, maximizing reimbursement, and ensuring accurate data in client systems.

You will handle benefit investigations, prior authorizations, data entry, and coordination with pharmacy teams, while maintaining high quality service across multiple stakeholders.

Qualifications

• High School Diploma/GED or equivalent experience.
• 4 - 6 years' experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement.
• Computer proficiency in MS Office applications, with database experience a plus.
• Excellent written and verbal communication skills, with demonstrated ability to communicate with others at all levels.
• Ability to manage multiple priorities and meet deadlines.
• Detail oriented with good analytical skills.
• Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred.

Responsibilities

• Conduct benefit investigations, verify insurance benefits for patient and physicians' offices, and obtain prior authorizations.
• Accurately enter and maintain data in client database and monitor outstanding items on each client case file.
• Participate in conference calls with Client Sales Representatives, client management and physicians' offices regarding status of cases and orders.
• Coordinate orders for product, shipment, and therapy initiation with pharmacy and patient.
• Respond to calls from patients, insurance companies, physicians, Sales Reps, pharmacies and homecare agencies.
• Identify and report REMS-related events and potential risk events to the appropriate team.
• Educate patients and prescribers about program requirements and assist with referrals.

Skills

Insurance experience

Customer service

MS Office

Communication skills

Multi-tasking

Detail oriented

Education

High School Diploma or GED

Tools

Database experience

Job description

UBC, a pharmaceutical support industry leader in the United States, seeks a customer service and reimbursement specialist to interface with patients, providers, and payers. The role emphasizes expediting the patient onboarding process, maximizing reimbursement, and ensuring accurate data in client systems.

You will handle benefit investigations, prior authorizations, data entry, and coordination with pharmacy teams, while maintaining high quality service across multiple stakeholders.