Field Reimbursement Specialist

Davita Inc.; Alabama; Remote; USD 60,000 - 90,000; Full time

Job summary

A healthcare company is seeking a Field Reimbursement Specialist to educate healthcare providers on access to therapies. This role involves significant travel across Alabama and neighboring states, delivering educational presentations while supporting patient access initiatives. Candidates should be willing to travel and ideally have experience in revenue cycle management.

Benefits

Comprehensive wellness benefits

Professional development resources

Paid parental leave

Infertility coverage

Qualifications

• Ability to educate provider office staff on reimbursement topics.
• Experience in revenue cycle, coding, and appeals processes needed.

Responsibilities

• Educating office staff on logistics for client products.
• Managing patient access issues and providing education.

Skills

Project management skills

Understanding coverage management

Education

High School Diploma/GED

Bachelor's degree or specific Practice Management experience

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

Please note:

Interested candidates must live within a reasonable commuting distance of a major airport in the listed location and be able to travel up to 80% within a territory that includes but may not be limited to Florida, Louisiana, Alabama, Arkansas, Tennessee.

Play a vital role in helping patients gain access to life-changing therapies! From oral medications to biosimilars to critical cancer treatments, 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 the assigned client's product. The FRS will manage daily activities that support appropriate patient access to our client's products in provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients. Our teams travel weekly, which could include overnight stays, to healthcare offices within a designated territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and address access issues to ultimately help patients.

As an FRS, a typical day might include:

• Educating provider office staff and practice managers on logistics needed to support client products, including infrastructure for in-office administration, buy and bill, and monitoring of products, as well as important coverage and payer policy changes within assigned territories.
• Educating provider office staff on payers' coverage management strategies, including coding, billing, formulary, prior authorization, and appeal processes.
• Probing to understand office processes and root causes of access or reimbursement issues.
• Delivering interactive educational presentations at various provider sites of service.
• Providing information on relevant reimbursement topics related to our client's products based on client's approval.
• Performing other related duties as assigned.

Additional responsibilities include:

• Conducting field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.
• Understanding the dynamics of Specialty Pharmacy vs. Specialty Distribution.
• Having a broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care.
• Possessing 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.
• Living within a reasonable commuting distance of a major airport in the listed location and being able to travel within a territory that includes but may not be limited to Florida, Louisiana, Alabama, Arkansas, Tennessee.

Nice to have qualifications include:

• High School Diploma/GED required.
• Bachelor's 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. Our offerings include medical, dental, and vision care, along with comprehensive wellness benefits such as support for working families, backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. We also offer various training programs, professional development resources, mentorship programs, employee resource groups, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora.

Equal Employment Opportunity

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 protected class. We ensure all recruiting, training, compensation, benefits, promotions, and transfers comply with equal opportunity principles and are non-discriminatory. We also provide reasonable accommodations for individuals with disabilities during the employment process. To request an accommodation, contact us at 888.692.2272 or [e-mail].

Affiliated Companies

PharmaLex US Corporation