Field Reimbursement Specialist

MWI Buying Group; Lubbock, Moses Lake, Spokane (TX, WA, WA); Hybrid; USD 94,000 - 187,000; Full time

Job summary

AmerisourceBergen is seeking a Field Reimbursement Specialist to educate provider offices on insurance and reimbursement topics and to help ensure patient access to specialty medications. The role requires travel up to 80% within a broad territory and collaboration with payers, pharmacies, and manufacturers to navigate coverage challenges.

Qualified candidates will have strong knowledge of pharmacy benefits, prior authorizations, and appeals processes, plus willingness to obtain PACS

Qualifications

• High School Diploma or GED required.
• Bachelor's degree or relevant practice management experience preferred.
• Willing to obtain PACS certification within six months of employment.

Responsibilities

• Educate provider offices on insurance and reimbursement topics.
• Help patients access medications by resolving coverage and reimbursement barriers.
• Travel up to 80% within a designated territory to provider sites.

Skills

Reimbursement knowledge

Pharmacy benefits

Prior authorization

Educate providers

MS Office

Education

High School Diploma/GED

Bachelor's degree preferred

PACS certification within 6 months

Tools

Microsoft Word

PowerPoint

Excel

Outlook

Job description

## Field Reimbursement SpecialistPostulerlocations: Remote, Utah: Lubbock, TX: USA > WY > Remote: Mosses Lake, WA: Spokane, WAtime type: Temps Pleinposted on: Publié aujourd'huijob requisition id: R2613327Our 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 80% within a territory that includes but may not be limited to Colorado, Utah, Eastern Washington, Montana, Idaho, New Mexico, West Texas, Oklahoma, and Wyoming.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.#LI-MP1**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** **Colorado, Utah, Eastern Washington, Montana, Idaho, New Mexico, West Texas, Oklahoma, and Wyoming.****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\*****$93,500 - 187,000\*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.# **Échelle salariale**# .# ********Affiliated Companies:********Affiliated Companies: Cencora Patient Services, LLC### About UsCencora is a leading global pharmaceutical solutions company that is committed to improving the lives of people and animals everywhere. We connect manufacturers, providers, and patients to ensure that anyone can get the therapies they need, where and when they need them.We’re a purpose-driven organization, where all of our team members around the world are united in our responsibility to create healthier futures. We work together every day to help our partners bring their innovations to patients worldwide, creating unparalleled access and impact at the center of health.### Job ScamsRecruitment scams are on the rise and the intent is to target individuals looking for employment opportunities. To protect yourself, we urge you to be vigilant and follow these guidelines.1.) **Research the Company:** Thoroughly research any company before applying or sharing personal information, check their website, read reviews, and verify their legitimacy.2.) **Be Wary of Unrealistic Promises:** Exercise caution If a job posting offers high salaries and minimal qualifications. Legitimate jobs will have realistic expectations and provide detailed job requirements. Jobs at Cencora can be found on Cencora.com/careers3.) **Guard Your Personal Information:** Only share sensitive information after vetting the employer’s credibility. Avoid sharing your Social Security number, bank account details, or identification documents during the application process. Cencora does not request this information as part of the employment application.4.) **Avoid Upfront Payments:** Legitimate employers do not require payment during the hiring process. Be suspicious if you are asked to pay for training materials, processing fees, or background checks before securing a job offer. Cencora will never ask you for payment information during the hiring or onboarding process.5.) **Verify Communication Channels:** Scammers often use free email services or chat platforms without providing an official company contact information. Cencora recruiters will have an email address ending in @cencora.com, @alliance-healthcare.net, @alliance-healthcare.co.uk, alliance-healthcare.fr or alliance-healthcare.roRemember to stay vigilant and informed about common scam tactics to reduce the risk of falling victim to fraudulent employment schemes.If you believe you have encountered a job scam posing as a Cencora opportunity, please report it immediately to: [e-mail]