Field Reimbursement Specialist | Medicare & Payer Support

McKesson; Rhode Island; Remote; USD 92,000 - 154,000; Full time

Job summary

McKesson is hiring a Field Reimbursement Manager in the United States to support reimbursement and patient services for a specific drug. You will educate office staff, manage benefit investigations, prior authorizations, and claims assistance, and travel up to 80% to physician offices.

Strong communication and organization skills are essential. The role requires Medicare and commercial coverage knowledge and experience with clinical reimbursement processes.

Qualifications

• 4-year degree in related field or equivalent experience.
• 4+ years of healthcare related reimbursement experience.
• Must have Medicare and commercial insurance coverage experience.
• Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis.
• Proven presentation skills and experience.
• Proven ability to effectively handle multiple priorities and excellent organizational skills.
• Strong computer literacy to include PowerPoint and Web Meeting experience.

Responsibilities

• Provide on-site and on-demand education for the office staff regarding reimbursement challenges and available support services.
• Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams.
• Reimbursement support on case management, billing and coding updates, claims submission, and appeals assistance.
• Set up appointments and complete outbound calls to targeted offices; assist in backlog casework; interface with physicians and manufacturer representatives.
• Monitor program performance via FRM CRM dashboard; quarterly reporting to clients.
• Research and compile provider and manufacturer data for reimbursement databases.

Skills

Interpersonal skills

Written and oral communication

Problem solving

Decision making

Education

4-year degree in related field

Tools

PowerPoint

Web Meeting

Job description

McKesson is hiring a Field Reimbursement Manager in the United States to support reimbursement and patient services for a specific drug. You will educate office staff, manage benefit investigations, prior authorizations, and claims assistance, and travel up to 80% to physician offices.

Strong communication and organization skills are essential. The role requires Medicare and commercial coverage knowledge and experience with clinical reimbursement processes.