Offer summary

Qualifications:

Comprehensive knowledge of pharmacy benefits and medical insurances., Strong interpersonal and communication skills for diverse interactions., Excellent organizational skills and ability to manage multiple tasks under stress., Bilingual in English and Spanish preferred..

Key responsabilities:

Manage reimbursement processes for nursing accounts and ensure copay assistance is applied.

Coordinate with Admissions, Therapy teams, and Billing departments for patient support.

Establish efficient processes for billing and reimbursement assistance programs.

Maintain relationships with external nursing agencies and financial support foundations.

Job description

Description

About Orsini Specialty Pharmacy

Providing patients with comprehensive and compassionate care since 1987, Orsini Specialty Pharmacy is a leader in rare diseases and gene therapies. Orsini partners with biopharma innovators, healthcare providers, and payors to support patients and their families in accessing revolutionary treatments for rare diseases. Through integrated pharmacy distribution, patient services, clinical management and convenient home infusion services, Orsini delivers customized solutions that simplify how patients connect to advanced therapies. Orsini’s high-touch care model centers on experienced and trained therapy care teams that provide personalized patient care to ensure that No Patient is Left Behind™. Orsini Specialty Pharmacy holds accreditations with the Accreditation Commission for Health Care (ACHC), The Joint Commission, URAC and NABP. Orsini has earned URAC’s Rare Disease Pharmacy Center of Excellence Designation and ACHC's Distinction in Rare Diseases and Orphan Drugs.

Our Mission

Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.

LIVE IT Values

At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.

Leading Quality, Integrity, Valued Partner, Empathy, Innovation, Team-First

POSITION SUMMARY

Pay Range: $21-$26

Nursing Account Representative is responsible for reimbursement of all nursing accounts. The NAR must have comprehensive knowledge of the manufacturer and charitable funding landscape. The PNAR will investigate to obtain the best source of reimbursement for nursing for the patient and Orsini. The PNAR assures there is close coordination with the Admissions department, Therapy teams, and Billing department. The PNAR will ensure copay and foundational assistance payments are received and applied to patient benefits. The PNAR will work with the family to send in all necessary documents to assistance funds to secure coverage.

REQUIRED KNOWLEDGE, SKILLS, & TRAINING:

Knowledge and understanding of pharmacy benefits, benefit reimbursement, medical insurances, and a certain level of medical terminology. Also, a significant working knowledge of the regulations and requirements for pharmaceutical manufacturer copay assistance programs and 501c3 foundational assistance.
Requires interpersonal and communication skills to efficiently work with diverse groups of vendors and internal customers.
Requires excellent organizational/administrative skills, focus, flexibility, and the ability to get tasks done.
Ability to organize work, set priorities, perform duties simultaneously, and effectively function in stressful situations.
Highly effective verbal and written communication skills to coordinate/provide information and care to patients and families.
Highly effective interpersonal skills necessary to interact with patients, insurance companies and co-workers.
Bilingual English/Spanish preferred
Requires basic computer skills and the ability to use online calendars, email and components of the Microsoft Office and Excel.

ESSENTIAL JOB DUTIES:

Establish a team dynamic and processes that support the patient services needs of the organization.
Assure the smooth and accurate flow of copay reimbursement assistance and nursing agency contracts in line with the needs of the business.
Work cross functionally with internal departments such as Admissions, Nursing, Pharmacy and Billing Operations to assure consistent support of our patients.
Establish and maintain efficient processes in coordination with the reimbursement and billing teams to create/start the billing process with assistance programs.
Maintain relationships with external nursing agency contracting representatives as well as foundations that provide vital financial support for our patients/customers.

EMPLOYEE BENEFITS