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Job Details

Eligibility Specialist

Company: United BioSource Corporation.
Location: Morgantown, WV
Reference: REQ20013441
Closing Date: 21 Mar 18
Type: Full Time
Salary (£): Competitive
Benefits:

Job Summary:

POSITION SUMMARYThe Eligibility Specialist works collaboratively the eligibility team to reach proper solutions for management of all facets of enrollment into UBC's Prescription Drug Plan (PDP) product.  This position is responsible for outbound calls for data collection and proper analyzing and processing of data. ...

Requirements:

POSITION SUMMARY

The Eligibility Specialist works collaboratively the eligibility team to reach proper solutions for management of all facets of enrollment into UBC's Prescription Drug Plan (PDP) product.  This position is responsible for outbound calls for data collection and proper analyzing and processing of data. 

ESSENTIAL FUNCTIONS

  • Utilize and understand provider guidance and eligibility processes, in order to make necessary updates to various internal systems required for enrollment into UBC's Prescription Drug Plan.
  • Serve as first point of contact for internal clients and members during the enrollment process.
  • Make outbound calls to members to gather Enrollment Data; analyze and process data accordingly. 
  • Handle inbound member calls and written correspondence regarding member eligibility.
  • Make independent judgments in order to respond to complex or critical member issues.
  • Work collaboratively with Eligibility Systems Analysts, other Eligibility Associates, Eligibility Managers and Account Managers to provide seamless support.
  • Identify and escalate repetitive questions and /or problems so that corrective action can be pursued and expedited.
  • Maintain accurate and complete documentation of all contacts. This continuously improves the process and reduces potential for legal concerns or payouts.
  • Complete other projects and additional duties as assigned.

QUALIFICATIONS

  • High School diploma or equivalent.
  • 3-5 years experience in a customer service setting preferably in a call center environment.
  • Previous experience in the PBM and or Healthcare Industry preferred.
  • Working knowledge of PC applications (i.e. Microsoft Office and Internet).
  • Proven leadership experience preferred; supervisor and/or coaching experience preferred.
  • Ability to work cross-functional to resolve complex client issues; Strong project management and organizational skills.
  • Ability to manage timelines and balance multiple deadlines; Ability to work a flexible schedule.
  • Demonstrated ability to handle internal and external customers in a professional manner.
  • Ability to adapt in a dynamic work environment, learns quickly, solve problems and make decisions.
  • Ability to navigate through multiple systems simultaneously.
  • Ability to act as a company ambassador when interfacing with clients to positively represent UBC's vision, values, and client pledge.

ABOUT THE DEPARTMENT

United BioSource Corporation (UBC) is a leading provider of pharmaceutical support services, partnering with life science companies to make medicine and medical products safer and more accessible. Our services support the full lifecycle of medicine and medical products, including development, commercialization, and long-term value and safety.

While UBC offers employment within Patient Support, Nursing, Pharmacy and Corporate, two main focus areas for the company are Clinical Development & Research and Safety & Risk Management. Members of the Clinical Development and Research teams help evaluate study protocol, target study population, recruit physicians and patients, and collect, clean, validate and report data. As a result, sponsors are able to submit findings to regulatory authorities or make a no-go decision in a timely and clear-cut manner. Additionally, our Safety and Risk Management teams develop, deliver, and report evidence to reinforce safe and appropriate product use. 

Through our Patient Access services, we help patients begin therapy quickly and remain on therapy, building strong relationships with patients to ensure optimal care.
 

UBC is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation.

Apply for this job: Eligibility Specialist

Contact Information:

Address:  United BioSource Corporation (UBC)
Europe Headquarters
26-28 Hammersmith Grove
London
United Kingdom
W6 7HA
England
Tel:  +44 (0)20 8834 0100
Website:  Visit Our Web Site

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