Could you please post the following to the li=
stserv? This is a great opportunity for anyone looking for a career in=
the Morgantown area. Persons who are interested in applying can go to=
www.unitedbiosource.com , cl=
ick on careers and search Job Group B. Please let them know to apply o=
nline. Job Title: Job Responsibilities: United BioSource Corporation (UBC), a wholly owne=
d subsidiary of Medco Health Solutions, Inc. is a global scientific and medi=
cal affairs organization that partners with life science companies to make m=
edicine and medical products smarter for all stakeholders in the health care=
landscape. The major components of UBC’s business are as a leader in =
late-stage clinical development; safety and risk management; health economic=
s; outcomes research; pricing and reimbursement and medical publications and=
communications. • Bachelors degree required, Masters degree preferred• Clinical background or relevant industry experience required Thank you, Tara Tara Riddle<=
p class=3DMsoNormal>Manager, Reimbursement Services
Brief Description:
Handle the day-to-day act=
ivities of the reimbursement hotline (s) and/or patient assistance program (=
s) to which the employee is assigned. Handles moderately complex reimburseme=
nt cases by researching and analyzing insurance issues related to the reimbu=
rsement of the products. Manages the Specialty Pharmacy (s) to which program=
the employee is assigned.
Specific Job Duties:
• Handle=
s calls from healthcare professionals, patients, and sales representatives• Provides assistance with reimbursement inquiry requests
•=
Provides billing and coding information related to specific product
R=
26; Verifies patient insurance benefits
• Conducts general payer re=
search
• Works with payers and healthcare professionals to resolve =
prior authorization issues and/or appeals of denials
• Identifies c=
omplex cases and triages them appropriately to the next level
• As=
sists in the development of reimbursement tools, presentation materials and =
program PSPs as requested by the Manager or Program Manager
• Assis=
ts with reports using MS Word, Power Point, and MS Excel as requested by the=
Manager or Program Manager
• Cultivates and manages relationships =
with key contacts at managed care organizations, CMS and Medical Professiona=
l Societies
• Manages the Specialty Pharmacy (s) by conducting the =
weekly telephone conferences
• Provides ongoing communication with =
the Specialty Pharmacy (s), as needed to assist with the management of each =
case
• Maintains updated coverage for all Medicare, Medicaid, and p=
rivate payers
• Travels to and attends related meetings/conferences=
as required
• Other duties as assigned by management
Superv=
isory Responsibilities:
Although there are no direct reporting respon=
sibilities of team members to the Reimbursement Specialist and Specialty Pha=
rmacy Liaison, they are responsible for the mentoring PCS team members with =
regard to reimbursement and specialty pharmacy issues. This position also pr=
ovides ongoing team performance issues to the manager and during the annual =
evaluation process.
=
8226; Knowledge of medical terminology preferred
• Excellent writte=
n and verbal communication skills
• Computer skills with specific a=
ptitude in Microsoft Office
• Customer service experience, preferre=
d
• Analytical thinking skills
• Ability to handle a fast-=
paced environment
• Professional phone manner
• Excellent =
problem solving and troubleshooting skillsReimbursement Manager/Specialty Pharmacy Liaison
United BioSource Corpo=
ration
200 Pinecrest Plaza
Morgantown, WV 26505-8065
Phone: +=
1 304 291-7524 Ext. 1235
Fax: +1 304 292-6391
E-mail: [log in to unmask]">tara.riddle@un=
itedbiosource.com
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