Field Reimbursement & Access Strategist

McKesson; Virginia; On-site; USD 92,000 - 154,000; Full time

Job summary

McKesson is seeking a Field Reimbursement Manager (FRM) to oversee reimbursement and patient services across a designated territory in the United States. You will handle Benefit Investigation, Prior Authorization, and Claims Assistance while educating offices on payer landscapes through both remote and on-site trainings.

In this fast-paced, client-facing role you will interact with providers and manufacturers, track performance in FRM CRM, and travel up to 80% to support education and service

Qualifications

• 4-year degree in related field or equivalent experience.
• 4+ years of healthcare related reimbursement experience.
• Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
• Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s 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 Computer literacy to include PowerPoint and Web Meeting experience.
• Previous field experience, a plus.
• Account management experience, a plus.
• General Office Demands - Remote, WFH
• Travel Requirements Must be able to travel 80% (4 days a week) via automobile or plane

Responsibilities

• Provide on-site and on-demand education for the office staff in regard to Reimbursement challenges and support services that are available.
• Office interaction will include education and reimbursement support.
• On-site/virtual interactions will average 15 per week.
• Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams.
• 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 co-pay assistance and patient assistance programs.
• FRM will collaborate with case manager on average of 4/month and ad hoc as needed for escalations.
• Additional day-to-day in-office work.
• 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.
• Researchers compile provider/manufacturer representative information for reimbursement database.
• FRM will create a facility database on each new provider in FRM CRM. All interactions/activities are built utilizing this database.
• Travel 80% (4 days a week) via automobile or plane

Skills

PowerPoint

Web meetings

Education

4-year degree in related field or equivalent experience

Job description

McKesson is seeking a Field Reimbursement Manager (FRM) to oversee reimbursement and patient services across a designated territory in the United States. You will handle Benefit Investigation, Prior Authorization, and Claims Assistance while educating offices on payer landscapes through both remote and on-site trainings.

In this fast-paced, client-facing role you will interact with providers and manufacturers, track performance in FRM CRM, and travel up to 80% to support education and service