UBC

Patients First. Powered by Evidence.

Case Manager, Reimbursement – Bilingual, Spanish

BilingualBilingualFull TimeRemoteTeam 1,001-5,000Since 2003H1B No SponsorCompany SiteLinkedIn

Location

Missouri

Posted

9 hours ago

Salary

Not specified

Bachelor Degree2 yrs expEnglishSpanish

Job Description

• Serve as a patient advocate, removing barriers for patients accessing specialty pharmaceuticals. • Provide inbound and outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. • Coordinate the patient's access to therapies, conduct appropriate follow-ups, and facilitate access to support services such as co-pay assistance and patient assistance programs (PAP). • Provide day-to-day oversight and coordination of caseload to ensure all case elements and tasks are completed timely. • Act as single point of contact responsible for prior authorization and appeal processing communications. • Communicate patient benefits and responsibility timely and accurately. • Assess and refer patients appropriately for special programs/services when needed. • Perform quality checks on cases and report trends to leadership. • Trouble shoot complex cases while interfacing with key stakeholders. • Report Adverse Drug Events experienced by the patient in accordance with pharmaceutical requirements.

Job Requirements

  • Bachelor’s degree or six years of relevant working experience
  • Two (2) or more years of relevant experience in pharmacy benefit management preferred
  • Bilingual in English and Spanish (verbal and written) required.
  • Medical Assistant, Social Worker or Senior Reimbursement Specialist experience preferred
  • Proficient in Microsoft Office applications
  • Knowledge of medical and claims processing terminology
  • Excellent written/verbal communication to include providing clear instructions

Benefits

  • Remote opportunities
  • Competitive salaries
  • Growth opportunities for promotion
  • 401k with company match*
  • Tuition reimbursement
  • Flexible work environment
  • 20 Days PTO Annually (accrued)
  • Paid Holidays
  • Employee assistance programs
  • Medical, Dental, and vision coverage
  • HSA/FSA
  • Telemedicine (Virtual doctor appointments)
  • Wellness program
  • Adoption assistance
  • Short term disability
  • Long term disability
  • Life insurance
  • Discount programs

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