Field Reimbursement Specialist

Cencora; Odessa (TX); On-site; USD 86,000 - 124,000; Full time

Job summary

Join a forward-thinking company dedicated to improving lives through innovative healthcare solutions. As a Field Reimbursement Specialist, you will play a crucial role in ensuring patient access to essential therapies. Your expertise in reimbursement processes and healthcare policy will empower provider offices to navigate complex coverage challenges. With extensive travel and the opportunity to make a tangible impact, this full-time position offers a dynamic work environment where your contributions will be valued. Embrace the chance to grow professionally while making a difference in the lives of patients and their families.

Benefits

Medical Insurance

Dental Insurance

Vision Care

Wellness Benefits

Paid Parental Leave

Professional Development

Volunteer Activities

Qualifications

• Experience in reimbursement and access support in healthcare.
• Understanding of specialty pharmacy dynamics and billing processes.

Responsibilities

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

Skills

Reimbursement Support

Patient Education

Healthcare Policy

Revenue Cycle Management

Project Management

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 serve as a liaison to other patient assistance and reimbursement support services offered by our clients. Our teams travel weekly, sometimes requiring overnight stays, to healthcare offices 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 Responsibilities:

1. Educate provider office staff and practice managers on logistics needed to support client products, including infrastructure for in-office administration, buy and bill, and monitoring of products, 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 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.
5. Provide information on reimbursement topics related to our client's products 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. 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.
• Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory 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 comprehensive wellness benefits such as backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental and caregiver leave. We also support personal growth through training programs, professional development, mentorship, employee resource groups, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora.

Position Details:

Type: Full time

Salary Range*

$86,500 - 123,860

*This range reflects a national average; actual compensation may vary based on location. Salary ranges in specific states such as Colorado, California, Washington, New York, Hawaii, Vermont, Minnesota, Massachusetts, Illinois may be up to 10% lower or 12% higher than the stated range.

Equal Employment Opportunity:

Cencora is committed to providing equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status, or other protected classes. We prohibit harassment and ensure all employment practices are non-discriminatory. Reasonable accommodations are available for individuals with disabilities during the employment process. To request accommodations, contact 888.692.2272 or [e-mail].

Affiliated Companies: PharmaLex US Corporation