Field Reimbursement Specialist
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Job Description
Field Reimbursement Specialist educating healthcare providers on reimbursement, coverage, and access for Cencora client therapies. Supporting patient access across North Carolina, South Carolina, and Georgia.
Responsibilities:
- Plan and engage with customers using client-approved resources to educate on access and reimbursement topics relevant to assigned client products
- Manage daily activities supporting appropriate patient access to client products in provider offices
- Act as a liaison to patient assistance and reimbursement support services offered by clients
- Travel weekly, sometimes overnight, to healthcare offices within a designated territory
- Educate provider office staff and practice managers on product-support logistics, in-office administration infrastructure, buy and bill, product monitoring, and coverage and payer policy changes
- Educate provider office staff on payer coverage management strategies, including coding, billing, formulary, prior authorization, and appeal processes
- Probe office processes and identify root causes of access or reimbursement issues
- Deliver interactive educational presentations at various provider sites of service
- Provide client-approved information on relevant reimbursement topics
- Perform other duties as assigned
Requirements:
- Must reside within the listed territory: North Carolina, South Carolina, or Georgia
- Required to travel up to 80% within the specified area, including overnight trips
- Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners
- Understanding of Specialty Pharmacy versus Specialty Distribution
- Broad understanding of the physician buy-and-bill model versus assignment of benefits to alternate sites of care
- Experience in revenue cycle, buy and bill, including billing with miscellaneous J-code, formulary, benefit investigations, prior authorization, coding, and appeals processes
- Deep understanding of medical and pharmacy benefits/policies
- High School Diploma or GED required
- Bachelor's degree or specific Practice Management experience preferred
- Project management skills
- Experience with extensive travel
- Bilingual desirable but essential
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
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