Field Reimbursement Specialist

Cencora; Oklahoma City (OK); Presencial; USD 95 000 - 148 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical care

Dental care

Vision care

Paid parental leave

Training programs

Mentorship programs

Resumo da oferta

Cencora is seeking a Field Reimbursement Specialist to educate provider offices on access and reimbursement topics across a defined territory including New York, Boston, and Hartford. The role involves frequent travel to healthcare offices within the territory to address coverage and payer policy changes.

Responsibilities include educating office staff on buy‑and‑bill processes, coding and prior authorization, and presenting educational sessions.

Qualificações

• Experience in field reimbursement and access support within healthcare.
• Understanding of physician buy-and-bill models.
• Willingness to travel up to 80% within designated territory and overnight trips.

Responsabilidades

• Educate provider office staff on logistics to support client products and in-office administration.
• Explain payers’ coverage management strategies including coding, formulary, and prior authorization.
• Identify root causes of access or reimbursement issues in office workflows.
• Deliver interactive educational presentations at provider sites.
• Provide information on reimbursement topics approved by clients.

Conhecimentos

Field reimbursement

Revenue cycle

Payer policies

Prior authorization

Office staff education

Formação académica

Bachelor’s degree

GED

Ferramentas

Billing systems

Descrição da oferta de emprego

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.

Job Details

The 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.

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.

Typical Daily Responsibilities

• 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.

Requirements

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).

What Cencora offers

• Medical care
• Dental care
• Vision care
• Backup dependent care
• Adoption assistance
• Infertility coverage
• Family building support
• Behavioral health solutions
• Paid parental leave
• Paid caregiver leave
• Training programs
• Professional development resources
• Mentorship programs
• Employee resource groups
• Volunteer activities

Full time

Salary Range

$94,500 - 148,060

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law. The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non‑discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call or email . We will make accommodation determinations on a request‑by‑request basis. Messages and emails regarding anything other than accommodations requests will not be returned.

Affiliated Companies

• Cencora Patient Services, LLC