Field Reimbursement Specialist
Field Reimbursement Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job Details
Interested candidates must reside within the listed territory and will be required to travel up to 80 within the specified territory that includes but may not be limited to Maryland and Washington DC.
Play a vital role in helping patients gain access to life changing therapies! From oral medications to biosimilars to critical cancer treatments to infusions our associates with their passion for patients represent these therapies providing education coverage and access solutions to healthcare personnel.
Field Reimbursement Specialists (FRSs) will plan and engage with customers leveraging client approved resources to educate on access and reimbursement topics relevant to assigned clients product. The FRS will manage daily activities that support appropriate patient access to our clients products in the provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients. Our teams travel weekly sometimes requiring overnight travel to healthcare offices within a designated territory using their knowledge of coverage patient assistance and health policy to educate office staff and break through access issues to ultimately help patients.
As an FRS a typical day might include:
- Educate provider office staff and practice managers on logistics needed to support client product including infrastructure needed to support inoffice administration including buy and bill and monitoring of product and important coverage and payer policy changes within assigned territories.
- Educate provider office staff with understanding the payers coverage management strategies for product including coding billing formulary prior authorization and appeal processes.
- Probe to understand office processes and ability to discern root causes of access or reimbursement issues
- Deliver interactive educational presentations at various provider sites of service
Provide information on relevant reimbursement topics related to our clients products based on clients approval
Perform other duties as assigned
- Ability to conduct fieldbased reimbursement and access support education and consultation to key account customers and crossfunctional partners.
- Understands the dynamics of Specialty Pharmacy vs. Specialty Distribution
- Broad understanding of the physician buyandbill model vs. assignment of benefits to alternate sites of care.
- Experience in revenue cycle buy and bill (including billing with miscellaneous Jcode) formulary benefit investigations prior authorization coding and appeals processes
- Deep understanding of medical and pharmacy benefits/policies.
- Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to Maryland and Washington DC.
Nice to have:
- High School Diploma or GED required
- Bachelors degree or specific Practice Management experience preferred.
- Project management skills
- Experience with extensive travel
What Cencora offers
We provide compensation benefits and resources that enable a highly inclusive culture and support our team members ability to live with purpose every day. In addition to traditional offerings like medical dental and vision care we also provide a comprehensive suite of benefits that focus on the physical emotional financial and social aspects of wellness. This encompasses support for working families which may include backup dependent care adoption assistance infertility coverage family building support behavioral health solutions paid parental leave and paid caregiver leave. To encourage your personal growth we also offer a variety of training programs professional development resources and opportunities to participate in mentorship programs employee resource groups volunteer activities and much more. For details visit time *This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois Statespecific locations may be up to 10 lower than the minimum salary range and 12 higher than the maximum salary range. Cencora is committed to providing equal employment opportunity without regard to race color religion sex sexual orientation gender identity genetic information national origin age disability veteran status or membership in any other class protected by federal state or local law. The companys continued success depends on the full and effective utilization of qualified individuals. Therefore harassment is prohibited and all matters related to recruiting training compensation benefits promotions and transfers comply with equal opportunity principles and are nondiscriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment please call 888.692.2272 or email . We will make accommodation determinations on a requestbyrequest basis. Messages and emails regarding anything other than accommodations requests will not be returned .Salary Range*
Equal Employment Opportunity
Affiliated Companies:
Affiliated Companies: PharmaLex US Corporation
Required Experience:
Unclear Seniority
Employment Type
Full-Time
