Field Reimbursement Specialist

MWI Animal Health; New York (NY); Hybrid; USD 95,000 - 148,000; Full time

Benefits offered by this job

Remote work within territory

Travel opportunities

Competitive compensation

Job summary

AmerisourceBergen is seeking a Field Reimbursement Specialist to support access to therapies across New York, Boston, and Hartford regions. The role requires educating provider offices on logistics for in-office administration, buy-and-bill processes, and payer policy changes while traveling up to 80% within the territory.

You will deliver educational sessions, explain coverage strategies, and collaborate with patient assistance and reimbursement teams to help patients access therapies.

Qualifications

• Experience in revenue cycle and buy-and-bill processes.
• Knowledge of formulary management and benefit investigations.
• Familiarity with coding, prior authorization and appeals processes.
• Willingness to travel up to 80% within the territory.
• Bachelor’s degree or specific Practice Management experience preferred.

Responsibilities

• Educate provider office staff on logistics for in-office administration, buy-and-bill, and monitoring of product coverage.
• Explain payer coverage strategies, including coding, billing, formulary, prior authorization and appeals.
• Identify root causes of access issues and propose practical solutions.
• Deliver interactive educational presentations at provider sites.
• Coordinate with reimbursement support services to assist patients and offices.

Skills

Revenue cycle

Buy and bill

Formulary

Prior authorization

Coding

Appeals processes

Travel readiness

Education

Bachelor's degree

Job description

## Field Reimbursement SpecialistPostuler: Remote, New York: Remote, MA: Remote, Connecticut: Temps Plein: Publié aujourd'hui: R2616351Our 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 ferezThe territories covered are: New York state, Boston (Massachusetts), Hartford (Connecticut) Interested candidates must reside within the listed territory and will be required to travel up to 80% within the specified area, including overnight trips.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. 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 the 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, to healthcare offices within a designated territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and break through 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 client product, including infrastructure needed to support in-office administration including buy and bill and monitoring of product, and 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* Perform other duties as assigned #LI-AT2Requirements:* 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 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, 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. 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* Bilingual (desirable but essential)**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.