Field Reimbursement Specialist: Provider Access & Education

Cencora, Inc.

Florida

On-site

CAD 65,000 - 90,000

Full time

5 days ago
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Benefits offered by this job

Backup dependent care
Adoption assistance
Infertility coverage
Family building support
Paid parental leave
Paid caregiver leave
Training programs
Mentorship programs
Employee resource groups
Volunteer activities

Job summary

Cencora, Inc. is seeking a Field Reimbursement Specialist to educate providers on reimbursement and access issues and to help secure patient access to specialty medications.

This role requires travel within a designated territory and close coordination with payers, providers, and patient support teams. The ideal candidate has strong knowledge of pharmacy benefits, prior authorizations, coding and appeals, and a proven ability to navigate complex reimbursement landscapes.

Qualifications

  • Must have field-based reimbursement and access support experience.
  • Understanding of specialty pharmacy dynamics and payer policies.
  • Experience with revenue cycle, formulary, benefit investigations, prior authorization, coding and appeals processes.
  • Strong time management and organizational skills.
  • Proficient in Microsoft Word, PowerPoint, Excel, and Outlook.

Responsibilities

  • Educate provider offices on insurance issues and payer policies.
  • Assist patient access by resolving reimbursement and coverage challenges.
  • Collaborate with client reimbursement support services to address access barriers.

Skills

Field reimbursement knowledge
Specialty pharmacy
Revenue cycle / prior authorization
Pharmacy benefits knowledge
Time management
MS Office suite

Education

High School Diploma/GED
Bachelor's degree or relevant practice management experience
Field Reimbursement Manager/Specialist experience
Healthcare PBM experience
Willing to obtain PACS certification

Job description

Cencora, Inc. is seeking a Field Reimbursement Specialist to educate providers on reimbursement and access issues and to help secure patient access to specialty medications.

This role requires travel within a designated territory and close coordination with payers, providers, and patient support teams. The ideal candidate has strong knowledge of pharmacy benefits, prior authorizations, coding and appeals, and a proven ability to navigate complex reimbursement landscapes.

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