Field Reimbursement Specialist

Cencora; Maryland; On-site; USD 86,000 - 124,000; Full time

Job summary

Join an innovative company dedicated to improving health outcomes for patients and animals. As a Field Reimbursement Specialist, you will play a crucial role in educating healthcare providers about access and reimbursement related to life-changing therapies. This position involves significant travel within Maryland and Washington, DC, where you will leverage your expertise to resolve access issues and enhance patient care. With a focus on collaboration and support, this role offers the chance to make a meaningful impact in the healthcare landscape. If you are passionate about making a difference, we invite you to apply today.

Benefits

Medical, dental, and vision care

Wellness programs

Support for working families

Professional development

Mentorship opportunities

Qualifications

• Experience in revenue cycle and reimbursement processes is crucial.
• Understanding of medical and pharmacy benefits is essential.

Responsibilities

• Educate provider staff on reimbursement and access topics.
• Manage daily activities to support patient access to products.
• Deliver educational presentations at provider sites.

Skills

Field-based reimbursement support

Education and consultation

Revenue cycle management

Prior authorization processes

Coding and appeals processes

Education

High School Diploma or GED

Bachelor's degree

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 Maryland and Washington, DC.

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, represent these therapies providing education, coverage, and access solutions to healthcare personnel.

Position: Field Reimbursement Specialists (FRSs)

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. They will manage daily activities that support appropriate patient access to our client's products in provider offices and act 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 the product, as well as coverage and payer policy changes within territories.
2. Educate provider office staff on payers' coverage management strategies, including coding, billing, formulary, prior authorization, and appeals 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.
5. Provide information on relevant reimbursement topics based on client approval.
6. Perform other duties as assigned.

Qualifications:

• Ability to conduct field-based reimbursement support, education, and consultation with key account customers and cross-functional partners.
• Understanding of the dynamics of Specialty Pharmacy vs. Specialty Distribution.
• Broad understanding of physician buy-and-bill model vs. benefits assignment to alternate care sites.
• Experience in revenue cycle, buy and bill (including billing with miscellaneous J-codes), 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 territories including Maryland and Washington, DC.

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, training, professional development, mentorship, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora.

Salary Range

$86,500 - $123,860 (National Average). Actual compensation may vary based on location, with specific ranges in Colorado, California, Washington, New York, Hawaii, Vermont, Minnesota, Massachusetts, Illinois, and other states, potentially up to 10% lower or 12% higher than the range listed.

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity and prohibits discrimination or harassment. We also provide reasonable accommodations for individuals with disabilities during the employment process. To request accommodations, contact 888.692.2272 or email [e-mail]. Messages unrelated to accommodations will not be responded to.

Affiliated Companies: PharmaLex US Corporation