Reimbursement Specialist

Employer
Kite Pharma
Location
Santa Monica, CA, United States
Posted
Nov 04, 2020
Ref
R0012689
Required Education
Bachelors Degree
Position Type
Full time
Kite is continuing to hire for all open roles. Our interview process may be conducted virtually and some roles will be asked to temporarily work from home. Over the coming weeks and months, we will be implementing a phased approach to bringing employees back to site to ensure the health and safety of our teams.

For Current Kite Pharma Employees and Contractors:

Please log onto your Internal Career Site to apply for this job

Job Description

Kite, a Gilead Company, is a commercial-stage biopharmaceutical company focused on the development and commercialization of novel cancer immunotherapy products designed to harness the power of a patient's own immune system to selectively target and kill cancer cells. The company is focused on chimeric antigen receptor (CAR) and T cell receptor (TCR) engineered cell therapies designed to empower the immune system's ability to recognize and kill tumors. Kite is based in Santa Monica, CA. For more information on Kite, please visit www.kitepharma.com. Sign up to follow @KitePharma on Twitter at www.twitter.com/kitepharma.

Do you want to make a real difference in the world? Come help us in our quest to cure cancer! Everyone at Kite is grounded by this common goal. Every single day, we seek to establish a direct line between that purpose and our day-to-day work. Join us in our mission!

The Reimbursement Specialist focuses on resolving complex coverage and reimbursement issues that may create patient barriers to access for cell therapy. The individual in this role uses their knowledge of coverage, patient assistance programs and Kite resources to investigate and verify benefits and reduce patient access barriers. This role reports to the Senior Manager, Patient Program Operations and is based in Santa Monica, CA.

Key Responsibilities
  • Conduct benefits investigations and verifications for new cell therapy patients
  • Convey outcomes of benefit investigation to internal and external contacts (i.e. case managers and financial coordinators)
  • Coordinate with payers during the prior authorization process, including direct follow-up during appeals process if coverage is denied
  • Qualify patients for travel and lodging benefits in response to customer requests and manage referrals to external vendor for patients who are qualified
  • Respond to patient and customer questions about benefits as needed
  • Partner with Market Access and Payer Account team in support and development of customer facing materials
  • Ensure compliance with patient and customer services/support provided
  • Provide back-fill support for Intake Coordinators as needed (i.e., receive incoming data [such as travel / lodging applications, insurance cards, purchase order, trade policy cover] via fax or other sources and review, triage and route data to the appropriate department or team member as applicable)


Basic Qualifications

Bachelor's degree

OR

Associates degree and 2 years' of reimbursement experience

OR

High School Diploma and 4 years' of reimbursement experience

Preferred Qualifications
  • Excellent investigational and analytical skills with the ability to inventively and effectively solve problems
  • Ability to work independently and in a team environment
  • Excellent investigational and analytical skills with the ability to inventively and effectively solve complex reimbursement problems
  • A proven ability to communicate effectively in both written and verbal formats
  • Ability to provide excellent customer service with high customer empathy
  • Proficient in all aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules) as well as claims and appeals process
  • Hospital billing and coding experience
  • Knowledge of managed care industry including government payers


Kite is a biopharmaceutical company engaged in the development of innovative cancer immunotherapies with a goal of providing rapid, long term durable response and eliminating the burden of chronic care. The company is focused on chimeric antigen receptor (CAR) and T cell receptor (TCR) engineered cell therapies designed to empower the immune system's ability to recognize and kill tumors. Kite is based in Santa Monica, CA. For more information on Kite, please visit www.kitepharma.com. Sign up to follow @KitePharma on Twitter at www.twitter.com/kitepharma.

Kite is a biopharmaceutical company engaged in the development of innovative cancer immunotherapies with a goal of providing rapid, long-term durable response and eliminating the burden of chronic care. The company is focused on chimeric antigen receptor (CAR) and T cell receptor (TCR) engineered cell therapies designed to empower the immune system's ability to recognize and kill tumors. Kite is based in Santa Monica, CA. For more information on Kite, please visit www.kitepharma.com. Sign up to follow @KitePharma on Twitter at www.twitter.com/kitepharma.

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For Current Kite Pharma Employees and Contractors:

Please log onto your Internal Career Site to apply for this job.