Field Reimbursement Specialist

Cencora; Tredyffrin Township (Chester County); On-site; USD 60,000 - 100,000; Full time

Job summary

Join a forward-thinking company dedicated to improving lives through innovative therapies. As a Field Reimbursement Specialist, you'll play a crucial role in ensuring patients have access to essential medications. Your expertise will help educate healthcare personnel on reimbursement processes and access solutions, making a tangible difference in patient care. This full-time position offers a dynamic work environment with opportunities for travel and professional development. If you're passionate about healthcare and eager to make an impact, this role is for you!

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Wellness Benefits

Professional Development

Mentorship Programs

Employee Resource Groups

Volunteer Activities

Qualifications

• Experience in revenue cycle and reimbursement processes.
• Understanding of medical and pharmacy benefits/policies.

Responsibilities

• Educate provider office staff on reimbursement and access topics.
• Conduct field-based support and consultation to key accounts.
• Deliver educational presentations at provider sites.

Skills

Patient Education

Reimbursement Processes

Healthcare Policy Knowledge

Project Management

Education

High School Diploma/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

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.

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, which could include overnight stays, 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 products, including infrastructure for in-office administration, buy and bill, monitoring of products, and coverage and payer policy changes within territories.
2. Educate 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 provider sites.
5. Provide information on reimbursement topics related to our client's products based on client approval.
6. Perform other related duties as assigned.

Additional responsibilities:

• 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.
• Have a broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care.
• Possess 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 that includes but may not be limited to Pennsylvania/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. Our offerings include medical, dental, vision, and a comprehensive suite of wellness benefits, support for working families, training programs, professional development, mentorship, employee resource groups, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora.

Employment details

Full-time position.

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 protected class. We comply with all legal requirements and do not tolerate harassment. We provide reasonable accommodations for individuals with disabilities during the employment process. To request accommodations, contact 888.692.2272 or email [e-mail].

Affiliated Companies

Cencora Patient Services, LLC