Senior Reimbursement Specialist-Remote Growth Opportunities

United-Biosource-Corporation; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

United Biosource Corporation is seeking a Sr. Reimbursement Specialist to support patients, families, payers, home care, and physicians in expediting reimbursement for client products from a remote US location.

The role emphasizes benefit investigations, prior authorizations, data integrity, and coordination of product orders, with a focus on high-quality service and adherence to REMS and compliance requirements.

Qualifications

• High School Diploma/GED or equivalent experience.
• 4–6 years’ experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement.
• Health Insurance claims or patient accounting experience a plus.
• Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred.
• Excellent written and verbal communication skills.

Responsibilities

• Conduct benefit investigations, verify insurance benefits for patient and physicians’ offices, and submit and obtain prior authorizations as required by payer; obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval.
• Accurately enter and maintain data as required in client database and patient files and utilize the client database to 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, drug orders and status of alternative funding.
• Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient.
• Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Sales Reps, pharmacies and homecare agencies.
• Identify and report events as required by the REMS requirements for specified medication.
• Educate patients, prescribers, and others regarding program requirements, and facilitate referrals.

Skills

Insurance experience

Customer service

Communication skills

Multitasking

Attention to detail

Medical terminology knowledge

Education

High School Diploma/GED

Tools

MS Office

Database experience

Job description

United Biosource Corporation is seeking a Sr. Reimbursement Specialist to support patients, families, payers, home care, and physicians in expediting reimbursement for client products from a remote US location.

The role emphasizes benefit investigations, prior authorizations, data integrity, and coordination of product orders, with a focus on high-quality service and adherence to REMS and compliance requirements.