Field Reimbursement Manager
Field Reimbursement Manager
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Job Description
McKesson is an impactdriven Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights products and services that make quality care more accessible and affordable. Here we focus on the health happiness and wellbeing of you and those we serve we care.
What you do at McKesson matters. We foster a culture where you can grow make an impact and are empowered to bring new ideas. Together we thrive as we shape the future of health for patients our communities and our people. If you want to be part of tomorrows health today we want to hear from you.
The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation Prior AuthorizationClaims Assistance and Appeals) and educating the office on Payer landscape and services available through both remote interaction and onsite training. This position is clientfacing and customerfacing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences. The Field Reimbursement Manager works independently in a fast paced highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRM will frequently interact via telephone with providers and internal staff to arrange site visits Manufacturer trainings and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. Position will require travel project management and/or account coordination based on client expectation.
Key Responsibilities:
- Provide onsite and ondemand education (including Lunch and Learns or Dinner presentations) for the office staff in regard to Reimbursement challenges and support services that are interaction will include education and reimbursement support. Onsite/virtual interactions will average 15 per week. These activities are recorded in FRM CRM daily with reporting to manager weekly.
- Educate on Benefit Investigation Prior Authorization Process Support Center Services Medicare and Commercial coverage and patient communication streams. Monthly activity reporting captures educational topics at FRM level reportable to client based on client expectation. This trended data is also reported quarterly to client.
- Reimbursement Support on Case management billing and coding updates appropriate claims submission Specialty Pharmacy Medical Benefit Interpretation understanding medical necessity claims and appeal assistance information related to copay assistance and patient assistance programs. FRM will collaborate with case manager on average of 4/month and ad hoc as needed for escalations. These interactions are tracked in FRM CRM and hub system.
- Responsible for setting up appointments and completing outbound calls to targeted offices. Assist in completing backlog casework. Additional daytoday inoffice work. Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information. All FRM interactions/activities are tracked in FRM CRM which are reportable to management and client.
- Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance will be monitored via FRM CRM dashboard daily. Trending results will be identified through quarterly reporting. Additionally clients have the option to survey customers on program performance.
- Research and compile provider / manufacturer representative specific information for reimbursement database. (Includes account profiles) FRM will create a facility database on each new provider in FRM CRM. All interactions/activities are built utilizing this database.
Minimum Job Qualifications (Knowledge Skills & Abilities):
Education/Training
4year degree in related field or equivalent experience.
Business Experience
Entrylevel experience in project management
Minimum of 8 years healthcare related reimbursement experience
Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
Experience supporting oncology products
Experience in the healthcare industry including but not limited to insurance verification prior authorizations and/or claim adjudication physicians office or clinics.
Must have Medicare and commercial insurance coverage experience.
Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis.
Strong customer service experience
Proven presentation skills and experience
Ability to effectively handle multiple priorities within a changing environment.
Excellent organizational skills
Strong Computer literacy to include PowerPoint and Web Meeting experience
Specialized Knowledge/Skills
Previous field experience a plus
Previous experience with specialty pharmacy a plus
Account management experience a plus
Excellent Interpersonal skills.
Excellent written and oral communication skills
Problem solving and decisionmaking skills
Travel Requirements
Must reside in territory.
Must be able to travel804 days a week) via automobile or plane.
Must have a valid drivers license with a clean driving record/ MVR
Physical Requirements (Lifting standing etc.
Possible long periods of sitting and/or keyboard work. General office demands.
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors including performance experience and skills equity regular job market evaluations and geographical markets. The pay range shown below is aligned with McKessons pay philosophy and pay will always be compliant with any applicable regulations. In addition to base pay other compensation such as an annual bonus or longterm incentive opportunities may be offered. For more information regarding benefits at McKesson pleaseclick here.
Our Base Pay Range for this position
$75500 $125900McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race color religion sex sexual orientation gender identity national origin protected veteran status disability age or genetic information. For additional information on McKessons full Equal Employment Opportunity policies visit our Equal Employment Opportunity page.
Join us at McKesson!
Required Experience:
Manager
Employment Type
Full-Time
