Field Reimbursement Specialist — Drive Patient Access

AmerisourceBergen Global Commercialization Services & Animal Health; Denver (CO); On-site; USD 94,000 - 187,000; Full time

Job summary

Cencora is seeking a Field Reimbursement Specialist to serve as a subject-matter expert on reimbursement, access, and coverage issues. This role educates healthcare providers and staff on complex insurance processes and resolves access barriers, traveling up to 80% within a designated territory.

The FRS collaborates with providers, pharmacies, and payers to navigate reimbursement challenges and ensure patients can access specialty medications.

Qualifications

• 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.
• Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes.
• Deep understanding of pharmacy benefits/policies.
• Strong time management and planning skills.
• Proficient in Microsoft Word, PowerPoint, Excel, and Outlook.
• 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 Colorado, Utah, Eastern Washington, Montana, Idaho, New Mexico, West Texas, Oklahoma, and Wyoming.

Responsibilities

• Educate provider office staff on access and reimbursement topics using client-approved resources.
• Support appropriate patient access to the client's products by resolving reimbursement and coverage challenges.
• Collaborate with other patient assistance and reimbursement support services offered by the client.

Skills

Field reimbursement experience

Pharmacy benefit reimbursement

Prior authorization

Appeals processes

Pharmacy benefits knowledge

Time management

MS Word/PowerPoint/Excel

Travel readiness

Education

High School Diploma/GED

Bachelor's degree or relevant practice management experience

Healthcare experience resolving PB access issues

Willingness to obtain PACS certification

Job description

Cencora is seeking a Field Reimbursement Specialist to serve as a subject-matter expert on reimbursement, access, and coverage issues. This role educates healthcare providers and staff on complex insurance processes and resolves access barriers, traveling up to 80% within a designated territory.

The FRS collaborates with providers, pharmacies, and payers to navigate reimbursement challenges and ensure patients can access specialty medications.