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United Therapeutics Access & Support Specialist in Melbourne, Florida

California, US residents click here (https://www.unither.com/docs/UNITHER%20Applicant%20Notice%20-%20%2812-22-23%29%20Final%202.15.24%20Combined%20EN%20and%20French.pdf#page=9) .

The job details are as follows:

What We Do

We build on the strength of our research and development expertise and a distinctive, entrepreneurial culture that encourages diversity, innovation, creativity, sustainability, and, simply, fun. Since inception, our mission has been to find a cure for pulmonary arterial hypertension and other life-threatening diseases. Toward this goal we have successfully gained FDA approval for five medicines, we are always conducting new clinical trials, and we are working to create an unlimited supply of manufactured organs for transplantation.

We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation (PBC). Our public benefit purpose is to provide a brighter future for patients through (a) the development of novel pharmaceutical therapies; and (b) technologies that expand the availability of transplantable organs. At the same time, we seek to provide our shareholders with superior financial performance and our communities with earth-sensitive energy utilization.

Our company was founded by an entrepreneur whose daughter was diagnosed with a life-threatening condition. She sought to find treatment options and a cure for her daughter and patients like her. We are founder-led, and relentless in our pursuit of “medicines for life”. We continue to research and develop treatments for cardiovascular and pulmonary diseases, and other orphan diseases.

How you’ll contribute

The Access & Support Specialist provides limited reimbursement support services to healthcare providers and patients in keeping with United Therapeutics (UT) policies and procedures. This role also responds to requests for assistance, conducts eligibility reviews, and ensures that Patient Assistance Program participants meet ongoing requirements.

  • Provide limited, approved, and otherwise publicly available information to explain prior authorization, appeal, and denial issues specific to different payors

  • Ensure all questions and calls are documented and responded to in a timely manner

  • Collect and conduct benefits investigation information in an efficient manner

  • Communicate with healthcare providers, insurance plans, patients, and their authorized representatives as needed. Triage inquiries appropriately and escalate issues per established escalation protocol

  • Effectively utilize UT software and tools for the coordination of the patient assistance program support, as well reimbursement support, and conduct assistance application completion verification

  • Execute required tasks to record re-certification and other additional records while patient is provided access. Collect, categorize, and store necessary records to prove eligibility for patient assistance program

  • Ensure accurate reporting of calls and activities to management. Ensure all department records are current, accurate, and well maintained

  • Ensure ASSIST operations follow established policies and procedures. Report any instances of misconduct or non-compliance with UT policies and procedures

  • Follow UT code of conduct, policies and procedures, standard operating procedures, and any other business rules applicable to ASSIST

  • Provide information and data to management in a timely and complete manner

  • Communicate and collaborate professionally with team members, Field Reimbursement Management Team, and clients

  • Complete assigned training and education requirements. Maintain expertise and up to date knowledge of UT patient access and UT copay programs policies, procedures, business rules, related operations, and insurance requirement for UT products

  • Complete special projects with limited oversight and supervision, and mentor new team members on an as needed basis

  • Perform all other duties as required

For this role you will need

Minimum Requirements

  • H.S. Diploma or General Education Degree (GED)

  • 2+ years of experience in a customer service/reimbursement support environment and/or in a healthcare/life sciences related field

  • Experience working with insurance providers

  • Demonstrated excellence in customer service

  • Proficient in reimbursement support and insurance coverage

  • Ability to review available coverage information

  • Able to effectively handle questions pertaining to prior authorizations, denials and appeals

  • Essential telephone and electronic communication skills

  • Demonstrated ability to work as a team member with a focus on exceeding customer/client expectations

  • Problem solving skills

  • Able to handle challenges in a professional manner

  • Self-motivated and able to demonstrate initiative to work independently

  • Strong interpersonal communication, time-management, organization and relationship building skills

  • Able to work a flexible schedule if necessary

  • Proficiency with MS Office Suite and internet applications

Preferred Qualifications

  • Associates Degree

  • Specialty Medication benefit knowledge

At United Therapeutics, you’ll realize quickly that it is not an ordinary place to work! When you join our company, you will learn, grow, contribute, have fun, and be challenged... all while making a difference in the lives of our patients.

Eligible employees may participate in the Company’s comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit https://www.unither.com/careers/benefits-and-amenities

While United Therapeutics does not require vaccination for Covid-19 at this time, we strongly encourage all employees and visitors to remain up to date on vaccinations and boosters to protect one another from illness. Employees working in customer-facing roles must adhere and comply with customers’ credentialing guidelines, which may require vaccination against Covid -19, the influenza virus, and other illnesses that could be harmful to healthcare staff and patients.

United Therapeutics Corporation is an Equal Opportunity/Affirmative Action Employer - EOE Minorities / Females / Protected Veterans / Individuals with Disabilities

We strive to be an organization that engages the minds, hearts, and most spirited efforts of each of our employees. Our sense of purpose transforms what we do from work into mission, occupation into vocation and achievement into success.

We challenge our employees with innovative and revolutionary projects, offer an environment which fosters high-level job performance and provide a highly competitive total rewards package. This is what makes United Therapeutics a stimulating place to work.

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