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Resident Project Representative

Revint Solutions

Resident Project Representative

Coolspring, PA
Paid
  • Responsibilities

    Are you an experienced Hospital Accounts Receivable Representative looking for a new opportunity with a thriving company? Do you want the chance to advance your career by joining a rapidly growing revenue integrity company? If you answered “yes" to any of these questions – this is the position for you!

    DAILY RESPONSIBILITIES HOSPITAL A/R REPRESENTATIVE:

    • EPIC experience
    • Follow up on UB04 claims submitted to third-party payers to ensure timely payment
    • Escalate claim processing issues to the payer representatives and supervisors, as necessary
    • Ensures secondary bills are accurately generated and submitted on a timely basis
    • Move money to patient balance timely, as appropriate
    • Resolve coordination of benefits and expired insurance issues timely and accurately
    • Identifies any overpayments and/or duplicate payments, with investigation and documentation
    • Evaluate zero payment denials received and ensure follow-up is conducted timely, as appropriate
    • Draft and submit 1st level appeals to payers
    • Identifies bad debt write-offs and A/R adjustments. Initiates write-off and adjustments in accordance with policies and procedures
    • Escalate to manager recurring denial themes with feedback on possible resolution tactics

    REQUIREMENTS ACCOUNTS RECEIVABLE REPRESENTATIVE:

    • Minimum of 1 year in Hospital Accounts Receivable follow-up
    • Minimum of 1 year experience with EPIC
    • High School Diploma
    • Basic level skill in Microsoft Excel (opening a workbook, inserting a row, selecting font style and size)
    • Basic level skill in Microsoft Word (opening a document, cutting, pasting and aligning text, selecting font type and size)

    HOURS FOR THIS POSITION:

    Monday-Friday 8:00am-4:30pm

    ADVANTAGES OF THIS OPPORTUNITY:

    Competitive salary

    Benefits offered, Medical, Dental, and Vision

    Fun and positive work environment

    Opportunity to grow and expand skillset

    LOCATION:

    Center City Philadelphia, PA

    Required Skills Required Experience

  • Qualifications
    • Serves as the primary regulatory advertising and promotion reviewer on cross-functional Promotional Review Committee (PRC) and Medical Review Committees (MRCs)

    • Acts as primary contact with FDA's Office of Prescription Drug Promotion (OPDP), including responding to agency inquiries and managing company requests for advisory review.

    • Develops solutions to complex US promotional issues by utilizing scientific and regulatory knowledge to support business objectives and initiatives while effectively managing business risks.

    • Identifies and provides guidance on development and improvement of policies, processes, and standards for promotional materials and related activities.

    • Works closely with Regulatory counterparts to ensure that global development strategies result in commercially viable labeling, in support of desired promotional claims.

    • Maintain a deep and current awareness of evolving FDA regulations and interpretations, advisory comments, enforcement actions and policy issues affecting the medical device Industry

    • Effectively partner with Medical Affairs, Legal Compliance, Commercial and International Distributors as needed to ensure promotional labeling, marketing advertisement and educational materials and are reviewed in a timely fashion throughout the product life-cycle

    • Interpret and communicate regulatory perspective on advertising and promotional activities and risks to all stakeholders and management

    • Ensure communications and promotional claims are in compliance with product registrations, applicable laws, regulations and policies and have sufficient substantiating evidence on file

    • Serve as an internal expert on FDA guidance, regulations, and enforcement trends governing the promotion and advertising of prescription drugs.

    • In collaboration with Commercial, Medical and Legal colleagues, conduct a detailed review and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with approved labeling.

    • Provide regulatory leadership to the respective cross-functional team charged with advertising and promotion review to ensure compliance of promotional materials including, but not limited to, Physician and Patient Sales, Marketing and Educational Materials, Training Materials, Slide Presentations and press releases and external communications in compliance with global regulations and Company policies for ad promo materials.  Act as Chair of PRC.

    • Thoroughly review and assess proposed promotional items to evaluate their completeness, accuracy, and compliance with regulatory requirements and Akebia policies; review and revise regulatory policies to ensure compliance with regulatory requirements.

    • Contribute to the modification, development and implementation of Company practices and policies for advertising and promotional activities.  

    • Assist Commercial with the planning and prioritization of proposed promotional and disease state materials; provide expert guidance related to Regulatory strategy during early development projects to ensure promotional goals can be achieved.

    • Serve as a member of the Medical Review Committee to ensure regulatory compliance for non-branded, diseases specific or investigational drug communications.

    • Maintain a thorough understanding of the Office of Prescription Drug Promotion (“OPDP”) requirements, as well as a keen awareness of enforcement trends. Serve as primary contact leading and facilitating communications with the OPDP reviewers in the request and negotiation of advisory comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials.

    • In collaboration with global regulatory operations, ensure the management and maintenance of records and databases that support communication with OPDP.

    • Provide consistent, well-supported, and clear guidance to key stakeholders.

    • Deliver Regulatory compliance training to assigned teams in preparation for scientific conferences on and off site.

    • Participate in developing processes and procedures relevant to the creation, review and approval of advertising and promotional materials.

    • Collaborate with global regulatory operations and cross-functional colleagues to assess and optimize use of electronic review and archiving tools.

    • Identify and escalate any unresolved regulatory affairs compliance concerns to the appropriate escalation committees Provides oversight to relevant external vendors and consultants.

    • Monitors and keeps organization up-to-date on US regulatory promotional environment (e.g., the issuance of new FDA regulations/guidance, relevant FDA enforcement action and general awareness of industry practices, including those of competitors).

  • Industry
    Human Resources