Field Reimbursement Specialist

MWI Animal Health; Illinois; À distance; USD 95 000 - 148 000; Plein temps

Résumé du poste

AmerisourceBergen is seeking a Field Reimbursement Specialist to educate provider offices on insurance coverage, reimbursement policies, and access strategies. The role focuses on resolving payer barriers to ensure patients obtain specialty medications.

Travel to offices within a defined territory is required, with potential overnight stays. The ideal candidate has strong knowledge of pharmacy benefits, prior authorizations, and coding practices, plus experience in the revenue cycle.

Qualifications

• High School Diploma/GED required; Bachelor's degree or relevant practice management experience preferred.
• Experience resolving pharmacy benefit access issues in healthcare settings.
• Candidate should be willing to obtain PACS certification within six months.

Responsabilités

• Educate providers and staff on reimbursement and access topics within assigned territory.
• Resolve reimbursement and coverage challenges to improve patient access to medications.
• Collaborate with patient assistance and reimbursement support services.
• Travel weekly within the designated territory, including overnights as needed.

Connaissances

Reimbursement education

Provider education

Revenue cycle

Formulary knowledge

Prior authorization

Coding and claims

Time management

Formation

Bachelor's degree preferred

Healthcare experience

PACs certification within 6 months

Outils

Microsoft Word

PowerPoint

Excel

Outlook

Description du poste

## Field Reimbursement SpecialistPostuler: Remote, Illinois: Remote, Indiana: Remote, MI: Temps Plein: Publié aujourd'hui: R2616963Our 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!# Ce que vous ferez**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 50% within a territory that includes but may not be limited to Indiana, Michigan and Illinois. The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert on reimbursement, access, and coverage issues. The FRS play a critical role in ensuring patients can access specialty medications by educating healthcare providers and their staff on complex insurance and reimbursement processes and resolving access barriers. In this role, FRSs act as liaisons between providers, manufacturers, pharmacies, and payers to navigate reimbursement challenges. They meet directly with healthcare providers and their office staff to provide education on the reimbursement and access considerations specific to a specialty medication. For this position, expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential, as the supported medication is typically covered under pharmacy benefits. Key responsibilities include:* Educating providers and their office staff on access and reimbursement topics using client-approved resources.* Supporting appropriate patient access to the client’s products by resolving reimbursement and coverage challenges.* Collaborating with other patient assistance and reimbursement support services offered by the client. This role requires weekly travel, including potential overnight stays, to healthcare offices within a designated territory. FRSs use their expertise in coverage, patient assistance, and health policy to educate office staff, address access challenges, and ultimately help patients receive the medications they need. **As an FRS, a typical day might include:*** Educate provider office staff and practice managers on insurance issues relevant to the supported clients product, and inform the staff of 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 client’s products based on client’s approval.* Performs other related duties as assigned.**Skills and Abilities:** * Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.* Understands the dynamics of specialty pharmacy.* Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes.* Deep understanding of pharmacy benefits/policies.* Strong time management and planning skills.* Proficient in Microsoft Word, Powerpoint, Excel, and Outlook.* **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 Indiana, Illinois and Michigan.** **Education and Experience:*** High School Diploma/GED required.* Bachelor's degree or relevant practice management experience preferred.* Previous experience as Field Reimbursement Manager/Specialist preferred.* Previous experience working in healthcare directly resolving pharmacy benefit access issues.* Experience with extensive travel.* Candidates must be willing to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment.**Ce qu’AmerisourceBergen offre** Nous offrons une rémunération globale concurrentielle. Notre engagement envers nos associés comprend l’offre de programmes d’avantages sociaux complets, diversifiés et conçus pour répondre aux divers besoins de l’ensemble de nos associés. Grâce à notre présence mondiale et nos diverses unités commerciales, nous avons une approche équilibrée des avantages que nous offrons. De nombreux avantages sociaux sont payés par l’entreprise, tandis que d’autres sont offerts par les cotisations des associés. Les offres d’avantages sociaux spécifiques peuvent varier selon l’emplacement, le poste ou l’unité d’affaires.Temps Plein# ****Salary Range\\*****$94,500 - 148,060\\*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 State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.