Field Reimbursement Manager

McKesson; Missouri; Hybrid; USD 80,000 - 134,000; Full time

Job summary

McKesson is seeking a reimbursement education specialist to train office staff on reimbursement challenges, prior authorizations, and patient communication streams. The role reports into FRM programs and requires active collaboration with physicians and manufacturer representatives.

Ideal candidates will have 4+ years in healthcare reimbursement, Medicare/commercial coverage experience, and strong presentation and communication skills. Extensive travel within the St.

Qualifications

• 4-year degree in related field or equivalent experience.
• 4+ years of healthcare related reimbursement experience.
• Experience with Buy & Bill and/or Specialty Pharmacy.
• Experience in healthcare industry including insurance verification, prior authorizations, and/or claim adjudication.
• Medicare and commercial insurance coverage experience.
• Proven presentation skills and experience.
• Excellent written and oral communication skills.
• Strong computer literacy including PowerPoint and Web Meeting tools.

Responsibilities

• Provide on-site and on-demand education for office staff on reimbursement challenges and available support services.
• Educate on Benefit Investigation, Prior Authorization, Support Center Services, and patient communication streams.
• Perform reimbursement support on case management, billing and coding updates, claims submission, and related activities.
• Set up appointments and perform outbound calls to targeted offices; assist in backlog casework.
• Monitor physician and manufacturer performance via FRM CRM dashboard and quarterly reports.
• Research and compile provider information for reimbursement databases and create facility profiles.

Skills

Reimbursement expertise

Presentations

Interpersonal skills

PowerPoint

Web meetings

Education

Bachelors degree or equivalent

Job description

McKesson is an impact-driven, 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 well-being 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 tomorrow’s health today, we want to hear from you.

Required: Candidate must live within the St. Louis, MO or New Orleans, LA.area.

Key Responsibilities:

• Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) 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. 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 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. 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 day-to-day in-office 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 –

• 4-year degree in related field or equivalent experience
• 4+ years of healthcare related reimbursement experience

Business 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.
• Proven presentation skills and experience
• Proven ability to effectively handle multiple priorities and 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 decision-making skills

Working Conditions:

General Office Demands – Remote, WFH

Travel Requirements

Must reside in territory - St. Louis, MO or New Orleans, LA.

Must be able to travel80%(4 days a week) via automobile or plane

Must have a valid driver's license with a clean driving record/ MVR

Physical Requirements (Lifting, standing, etc.) –

Possiblelong periodsof sitting and/or keyboard work. General office demands.

Our Base Pay Range for this position

$80,300 - $133,800

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 McKesson's 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 long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) [e-mail] or (Canada) [e-mail]. Resumes or CVs submitted to this email box will not be accepted.

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