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Reimbursement Specialist Contractor

Genentech

Reimbursement Specialist Contractor

South San Francisco, CA
Full Time
Paid
  • Responsibilities

    Reimbursement Specialist (Contractor) South San Francisco California, United States of America Job ID:201805-108191 -The Position Position requires working in the South San Francisco office. Relocation assistance will not be provided. The Reimbursement Specialist investigates patients insurance benefits and obtains prior authorization information of Genentech products at the patient/family request. -Investigates patients insurance benefits -Identifies network providers, provider restrictions, co-pays as needed -Documents requirements for prior authorization and medical review process -Documents activities appropriately in progress notes -Pursue product coverage for patients in accordance with the payers authorization requirements within the departments established performance criteria -Maintains payer profiles by recording payer specific data promptly into the system -Convey outcomes of benefit investigation to internal contacts (i.e. case managers) -Ability to learn processes for multiple products and effectively apply learnings to provide effective reimbursement services -Conducts all work in a compliant manner -Consults with team members on an as needed basis -This position requires some flexibility in work shift The successful candidate will demonstrate the following competencies critical to this role: -Communication Listens well; expresses ideas fluently and logically; is open to input and can be depended on for truthfulness -Inspiring and Influencing Fosters an exchange of ideas and support; persuades and influences without authority -Teamwork and Collaboration Creates atmosphere of openness and truest collaborates; offers support and encouragement -Achieving Results Is goal directed and persistent; is accountable for meeting commitments; recognizes the contributions of peers Qualifications -Bachelors degree is preferred -A minimum of 3 years reimbursement experience preferred -Proficient in all aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules) -Understands reimbursement/funding resources and how to access these resources -Knowledge of managed care industry including government payers -Excellent investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format -Ability to work collaboratively in a team structure and responsibly delegates next steps to appropriate team members -Demonstrates effective problem solving and excellent customer service -Exceptional attention to detail and ability to prioritize tasks -Who We Are A member of the Roche Group, Genentech has been at the forefront of the biotechnology industry for more than 40 years, using human genetic information to develop novel medicines for serious and life-threatening diseases. Genentech has multiple therapies on the market for cancer & other serious illnesses. Please take this opportunity to learn about Genentech where we believe that our employees are our most important asset & are dedicated to remaining a great place to work. The next step is yours. To apply today, click on the "Apply online" button. Genentech is an equal opportunity employer & prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital & veteran status. For more information about equal employment opportunity, visit ourGenentech Careers page. -Job Function Pricing, Reimbursement & Contracting -Location -South San Francisco California, United States of America -Company/Division Pharmaceuticals -Schedule Full time -Job type Contractor

  • Industry
    Biotechnology