Sr. Reimbursement Specialist

United Biosource Corporation•All Virtual Locations, Home Based Position, USA, Remote, US,

15h•Remote

About The Position

As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an inclusive workplace that fosters creativity. If you are seeking a career that will challenge, inspire, and reward you, join us at UBC! ---------------------------------------- The Benefits Verification Specialist is responsible for conducting outbound calls to insurance payers to complete Pharmacy Benefit Manager (PBM) and Medical Management (MM) benefit verifications, with no inbound call responsibilities. This is a fixed-term assignment supporting the annual re-verification season, running from November 16, 2026 through February 27, 2027, and focused on ensuring accurate coverage and benefit information for program participants. Shift: Monday through Friday 9-6pm EST Project length: November 16, 2026 through February 27, 2027. Due to the short-term nature of this project and business needs, scheduled time off cannot be accommodated during the contract period. Schedule: Monday through Friday, 9:00 AM - 6:00 PM EST. Candidates must be available to work these hours as scheduled; there is no flexibility in the shift. Remote Work Requirements: Candidates must have a HIPAA-compliant workspace and reliable high-speed internet. UBC will provide all required equipment, including desktop hardware and software. ---------------------------------------- Brief Summary: The primary goal of this position is to provide high quality customer service, effectively interface with patients, patient’s families, national payers, home cares and medical doctor’s offices to assist patient and medical provider in expediting the process starting the patient on client product, and ensure the highest level of reimbursement is attained for client product. Extensive knowledge in specialized functions with a wide and comprehensive acquaintance with and understanding of both general and specific aspects of the job and their practical application to complex problems and situations ordinarily encountered.

Requirements

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.
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.

Nice To Haves

Health Insurance claims or patient accounting experience a plus.
database experience a plus.
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 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. Ensure files are complete so team can determine the current status.
Participate in conference calls as needed 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. May serve as single point of contact for an assigned group of prescribers.
Identify and report events as required by the REMS requirements for specified medication. Recognize adverse event, product quality complaint, potential risk events, and forward information to the appropriate team member for reporting to the manufacturer.
Educate patients, prescribers, and others regarding program requirements, and facilitate referrals. Maintain good housekeeping techniques, adhering to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures.