Field Reimbursement Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Field Reimbursement Specialist educating providers on pharmacy benefits and resolving specialty medication access barriers for Cencora. Traveling weekly across Illinois, Indiana, and Michigan.
Responsibilities:
- Serve as a subject-matter expert on reimbursement, access, and coverage issues
- Educate healthcare providers, office staff, and practice managers on insurance, reimbursement, coding, billing, formulary, prior authorization, and appeals processes
- Support patient access to client products by resolving reimbursement and coverage challenges
- Collaborate with patient assistance and reimbursement support services
- Liaise between providers, manufacturers, pharmacies, and payers
- Inform office staff about coverage and payer policy changes within assigned territories
- Probe office processes and identify root causes of access or reimbursement issues
- Deliver interactive educational presentations at provider sites of service
- Provide approved reimbursement information related to client products
- Perform other related duties as assigned
Requirements:
- Must live within a reasonable commuting distance of a major airport in Illinois, Indiana, or Michigan
- Ability to travel up to 50% within a territory including Indiana, Michigan, and Illinois
- Weekly travel, including potential overnight stays
- High School Diploma/GED required
- Previous experience working in healthcare directly resolving pharmacy benefit access issues
- Experience with extensive travel
- Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes
- Understanding of specialty pharmacy dynamics
- Deep understanding of pharmacy benefits/policies
- Proficient in Microsoft Word, PowerPoint, Excel, and Outlook
- Strong time management and planning skills
- Willingness to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment
- Bachelor's degree or relevant practice management experience preferred
- Previous experience as Field Reimbursement Manager/Specialist preferred
Benefits:
- Medical, dental, and vision care
- Backup dependent care
- Adoption assistance
- Infertility coverage
- Family building support
- Behavioral health solutions
- Paid parental leave
- Paid caregiver leave
- Training programs
- Professional development resources
- Mentorship programs
- Employee resource groups
- Volunteer activities
Similar Jobs
Field Reimbursement Specialist
Field Reimbursement Specialist helping U.S. healthcare providers resolve specialty medication reimbursement and access barriers. Educating office staff on pharmacy benefits, prior authorizations, appeals, and coverage policies.
Reimbursement Specialist
Reimbursement Specialist supporting patient access to life-saving medications at Valeris. Verifying insurance benefits and coordinating reimbursement assistance for patients, providers, and caregivers.
Reimbursement Specialist
Reimbursement Specialist processing medical claims and payer documentation for LUX Infusion’s patient-focused infusion care. Supporting accurate reimbursement and uninterrupted access to therapy.
Senior Reimbursement Specialist
Senior Reimbursement Specialist managing reimbursement strategies and providing health policy guidance in medical devices. Collaborating with various teams to enhance patient access and coding solutions.
Senior Reimbursement Specialist
Senior Reimbursement Specialist optimizing US reimbursement strategies to support business objectives for Merit Medical. Collaborating with multiple teams and building relationships with payers and agencies.
Senior Reimbursement Specialist
Providing high quality customer service and reimbursement support at UBC. Conducting benefit investigations and ensuring reimbursement for client products.
No more related jobs available.