Field Reimbursement Specialist

Cencora; Indiana (PA); On-site; USD 86,000 - 124,000; Full time

Job summary

Join a forward-thinking company dedicated to enhancing health outcomes for patients and animals alike. As a Field Reimbursement Specialist, you will play a crucial role in ensuring access to vital therapies, leveraging your expertise to educate healthcare providers on reimbursement processes. This position offers an exciting opportunity to travel within a designated territory, allowing you to make a meaningful impact in the healthcare landscape. With a commitment to inclusivity and professional development, this role is perfect for those passionate about making a difference in the lives of others.

Benefits

Medical, Dental, and Vision Care

Wellness Programs

Support for Working Families

Professional Development Resources

Qualifications

• Experience with patient assistance and reimbursement support.
• Understanding of Specialty Pharmacy and Distribution dynamics.

Responsibilities

• Educate provider staff on client product logistics and reimbursement.
• Identify root causes of access issues and provide solutions.
• Deliver educational presentations at provider sites.

Skills

Reimbursement Education

Patient Access Solutions

Healthcare Coverage Knowledge

Project Management

Education

High School Diploma or GED

Bachelor's Degree

Tools

Healthcare Policy Knowledge

Revenue Cycle Management

Coding and Billing Systems

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 Illinois, Michigan, and Indiana.

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, provide 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 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, sometimes requiring overnight travel, within a designated territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and resolve access issues to ultimately help patients.

Typical daily activities include:

1. Educate provider office staff and practice managers on logistics needed to support client product, including infrastructure for in-office administration, buy and bill, and monitoring of product, as well as coverage and payer policy changes within assigned territories.
2. Educate provider office staff on payers' coverage management strategies, including coding, billing, formulary, prior authorization, and appeal processes.
3. Probe to understand office processes and identify root causes of access or reimbursement issues.
4. Deliver interactive educational presentations at various provider sites of service.
5. Provide information on relevant reimbursement topics based on client's approval.
6. Perform other duties as assigned.

Additional requirements:

• Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.
• Understanding of the dynamics of Specialty Pharmacy vs. Specialty Distribution.
• Broad understanding of the physician buy-and-bill model vs. benefits assignment to alternate sites of care.
• 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.
• Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory including Illinois, Michigan, and Indiana.

Nice to have:

• High School Diploma or 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, as well as wellness programs, support for working families, and professional development resources. For more details, visit https://www.virtualfairhub.com/cencora.

Salary Range*

$86,500 - 123,860

*This range reflects a national average; actual salary may vary based on location, with specific states potentially up to 10% lower or 12% higher than the range listed.

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 also provide reasonable accommodations for individuals with disabilities during the employment process. To request an accommodation, contact 888.692.2272 or email [e-mail].