Sr. Reimbursement Specialist

Job Summary Provide high quality customer service and act as the interface between patients, their families, national payers, home care providers, and medical professionals to expedite the initiation of client products and secure the highest level of reimbursement. Responsibilities Conduct benefit investigations, verify insurance benefits for patients and physicians’ offices, and submit and obtain prior authorizations as required by payers. Obtain recertification for cases requiring extended treatment or coverage beyond the original approval. Accurately enter and maintain data in the client database and patient files, using the database to monitor outstanding items and ensure files are complete for status determination. Participate in conference calls with Client Sales Representatives, client management, and physicians’ offices regarding case status, drug orders, and alternative funding. Coordinate product orders, shipment, and therapy initiation with pharmacy and patient. Engage in Call Center Activities: triage and respond to incoming calls from patients, insurance companies, physicians, Sales Representatives, pharmacies and homecare agencies. May serve as single point of contact for an assigned group of prescribers. Identify and report REMS-related events, adverse events, product quality complaints, risk events, and forward information to the appropriate team member for manufacturer reporting. Educate patients, prescribers and others regarding program requirements and facilitate referrals. Maintain good housekeeping, adherence to quality and production standards, and compliance with all applicable safety and environmental programs. Qualifications High School Diploma, GED, or equivalent experience. 4‑6 years of experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement experience (health insurance claims or patient accounting) a plus. Computer proficiency in MS Office applications; database experience a plus. Excellent written and verbal communication skills, with the ability to communicate with others at 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. Benefits At UBC, employee growth and well‑being are a priority. We offer a comprehensive benefits package to help you thrive personally and professionally. Remote opportunities Competitive salaries Growth opportunities for promotion 401(k) with company match Tuition reimbursement Flexible work environment Discretionary PTO or 20 days PTO Paid Holidays Employee assistance programs Medical, Dental, and vision coverage

HSA/FSA

Telemedicine (virtual doctor appointments) Wellness program Adoption assistance Short‑term and long‑term disability Life insurance Discount programs Equal Opportunity Employer UBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, veteran status, disability, or any other federal, state, or local protected class. We are committed to a diverse, equitable and inclusive culture that fosters respect for each other, our clients, and our patients. #J-18808-Ljbffr UBC