Reimbursement Specialist - Healthcare jobs in Arizona

Job Description Summary

The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis Location :

This position will be located at the Tempe, AZ site and will not have the ability to be located remotely.

Scheduled hours for this position will be 10am - 7pm ET (8am - 5pm and 7am - 4pm AZ time) and can be subject to change based on business needs.

Proximity and ability to commute to work onsite in Tempe, AZ as required by our hybrid model (one week per month and for occasional meetings or events).

To be scheduled at the discretion of the business.

Roles will have a Dedicated Training Period : The individual hired for this role will be required to successfully complete initial training, including passing simulations and become certified to do the role.

Novartis Patient Support (NPS) is projected to support over 1.4 Million patients and impact nearly $4B of Novartis's US Pharma revenue.

NPS provides mission critical support to Novartis brands by helping patients prescribed Novartis products with assistance to address any access challenges and get on medications needed to improve their health.

The growth of an internal Patient Support Center (PSC) is a strategic priority for US Pharma. We have an incredible opportunity to formulate exciting new partnerships to deliver transformative patient ser-vices.

The NPS team is uniquely positioned to help support our goal of providing appropriate medications to twice as many patients twice as fast.

The Patient Support Center will support all franchises by providing omni-channel customer support and patient access. By leveraging workforce management, technology, and through staff retention and engagement, it will ensure strong appropriate alignment with NPS goals.

• If you are customer-obsessed.
• If you are energized by leading people through change.
• If you are motivated by measured outcomes.

You should consider joining the Novartis PSC's Reimbursement Specialist Team.

Job Description

Job Overview :

The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis medicines.

They will accurately and efficiently find the patient's insurance coverage, and any other requirements by leveraging reimbursement tools and collaborating with payers and providers.

The Reimbursement Specialist may also share appropriate information with Patient Specialty Services field teams. This information may cover coverage-related queries from customers, provide pre-authorizations for medical treatment, and outline information regarding co-payments.

The Reimbursement Specialist must have strong communication skills to converse with payors and providers about benefits coverage and be able to offer solutions in accordance with approved procedures.

A Reimbursement Specialist will possess an aptitude for learning and continual development.

Your responsibilities will include, but are not limited to :

• Develop and maintain knowledge of NPS programs and payer coverage; broaden program knowledge over time.
• Prepare proper documentation and notifications; perform proper escalation, tracking, and follow-up
• Evolve skills to navigate the payer landscape regarding Novartis programs over time
• As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Team Leads
• Novartis Compensation and Benefit Summary : The pay range for this position at commencement of employment is expected to be between $40,600 and $60,800 / year;

however, while salary ranges are effective from 1 / 1 / 24 through 12 / 31 / 24, fluctuations in the job market may necessitate adjustments to pay ranges during this period.

Further, final pay determinations will depend on various factors, including, but not limited to geographical location, experience level, knowledge, skills and abilities.

The total compensation package for this position may also include other elements, including a sign-on bonus, restricted stock units, and discretionary awards in addition to a full range of medical, financial, and / or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department / team performance, and market factors.

Experience : Education :

Education :

o High School Diploma required.

Minimum Requirements :

o 6 months of proven Reimbursement Experience (such as Healthcare, Payers or Pharmaceuticals,)

o Experience and exposure in balancing multiple priorities with multiple audiences

o Experience working with data entry system(s), fax machines, computer software, and telephone technology

o Strong phone and verbal communication skills - ability to follow oral and written directions

o Good problem-solving and critical thinking skills

o Ability to interpret, capture and document the details of payer conversations, in a timely and efficient manner

o Computer literacy with email, video conferencing systems and data entry systems

Preferred Experience :

o 1 year of Reimbursement Specialist experience within a Customer Contact Center in the Pharmaceuticals industry

Other Work Requirements :

o When working from home, a quiet dedicated space where the employee can work without interruption

o Ability to work the scheduled work hours, which generally will be an 8-hour schedule with two paid rest breaks and an unpaid lunch break.

Schedule hours : 10am - 7pm ET (8am - 5pm and 7am - 4pm AZ time) and can be subject to change based on business needs.

Why Novartis : Our purpose is to reimagine medicine to improve and extend people's lives and our vision is to become the most valued and trusted medicines company in the world.

How can we achieve this? With our people. It is our associates that drive us each day to reach our ambitions. Be a part of this mission and join us! Learn more here : https : / / www.

novartis.com / about / strategy / people-and-culture

You'll Receive : You can find everything you need to know about our benefits and rewards in the Novartis Life Handbook. https : / / www.

novartis.com / careers / benefits-rewards

Commitment to Diversity & Inclusion : Novartis is committed to building an outstanding, inclusive work environment and diverse teams representative of the patients and communities we serve.

Join our Novartis Network : If this role is not suitable to your experience or career goals but you wish to stay connected to hear more about Novartis and our career opportunities, join the Novartis Network here : https : / / talentnetwork.novartis.com / network

EEO Statement :

The Novartis Group of Companies are Equal Opportunity Employers and take pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status.

We are committed to building diverse teams, representative of the patients and communities we serve, and we strive to create an inclusive workplace that cultivates bold innovation through collaboration and empowers our people to unleash their full potential.

Accessibility and reasonable accommodations

The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities.

If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please send an e-mail to tas.

nacomms@novartis.com call 1 (877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message.

https : / / www.novartis.com / careers / careers-research / notice-all-applicants-us-job-openings

Salary Range

$40,600.00 - $60,800.00

Skills Desired

Benefits Verification, Calls Handling, Customer Service, Health Care, Reimbursement

Last updated : 2024-05-29