Field Reimbursement Specialist

Xcenda, LLC; New Jersey; Remote; USD 60,000 - 100,000; Full time

Job summary

An innovative company is seeking a dedicated Field Reimbursement Specialist to enhance patient access to vital therapies. In this role, you will engage with healthcare providers, educating them on reimbursement processes and facilitating patient access to critical treatments. Your expertise in revenue cycle management and understanding of medical benefits will be essential as you travel within your territory to address reimbursement issues. This position offers a chance to make a significant impact in the healthcare field while enjoying a comprehensive benefits package that supports your well-being and professional growth.

Benefits

Medical, dental, and vision care

Backup dependent care

Adoption assistance

Infertility coverage

Paid parental leave

Paid caregiver leave

Professional development resources

Mentorship opportunities

Employee resource groups

Volunteer activities

Qualifications

• Experience in reimbursement processes and patient access.
• Ability to educate provider office staff on coverage management.

Responsibilities

• Educate provider staff on logistics and coverage for client products.
• Conduct presentations and provide reimbursement information.

Skills

Field-based reimbursement support

Revenue cycle management

Education and consultation

Understanding of medical benefits

Project management skills

Education

High School Diploma/GED

Bachelor's degree

Job description

Field Reimbursement Specialist page is loaded

Field Reimbursement Specialist

Applying locations: USA > PA > Remote; USA > NJ > Remote
Time type: Full-time
Posted on: Posted 7 Days Ago
Job requisition ID: R254831

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

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:

• Educate provider office staff and practice managers on logistics needed to support the client’s product, including infrastructure for in-office administration, buy and bill processes, and monitoring of the product, as well as important coverage and payer policy changes within assigned territories.
• Educate provider office staff on payers’ coverage management strategies, including coding, billing, formulary management, prior authorization, and appeal processes.
• Probe to understand office processes and identify 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.
• Perform other related duties as assigned.

• Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.

• Understand the dynamics of Specialty Pharmacy vs. Specialty Distribution.

• Broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care.

• Experience in revenue cycle management, buy and bill processes (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 a territory that includes but may not be limited to the states of Pennsylvania and New Jersey.

Nice to have:

• 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. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on physical, emotional, financial, and social wellness. This includes support for working families, such as 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 opportunities, employee resource groups, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora.

Full-time position

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunities 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.

Harassment is prohibited, and all employment-related matters comply with equal opportunity principles and are non-discriminatory.

Cencora provides reasonable accommodations for individuals with disabilities during the employment process. To request an accommodation, contact 888.692.2272 or [e-mail]. Requests are handled on a case-by-case basis. Messages or emails unrelated to accommodation requests will not be responded to.

Affiliated Companies

Cencora Patient Services, LLC