Field Reimbursement Specialist- TN/KY/IN

AmerisourceBergen; United States; Remote; USD 60,000 - 100,000; Full time

Job summary

An innovative and collaborative company is seeking a Field Reimbursement Specialist to play a vital role in helping patients access life-changing therapies. This position involves educating healthcare personnel on reimbursement topics, managing daily activities for patient access, and traveling within a designated territory. The ideal candidate will have a strong understanding of revenue cycles and the dynamics of specialty pharmacy. Join a team dedicated to making a difference in patients' lives while enjoying a comprehensive benefits package and a supportive work environment.

Benefits

Paid parental leave

Medical insurance

Dental insurance

Vision insurance

Employee stock purchase program

Retirement savings options

Paid time off

Qualifications

• Experience in revenue cycle, buy and bill processes.
• Ability to conduct education and consultation for key accounts.

Responsibilities

• Educate provider office staff on product logistics and coverage.
• Manage daily activities supporting patient access to products.

Skills

Field-based reimbursement support

Education and consultation

Revenue cycle management

Understanding of medical benefits

Project management skills

Education

Bachelor's degree

Job description

Are you looking to make a difference in a patient’s life? At AmerisourceBergen, you will find an innovative and collaborative culture that is patient focused and dedicated to making a difference. As an organization, we are united in our responsibility to create healthier futures. Join us and apply today!

What you will be doing

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.

Field Reimbursement Specialists (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. The FRS will manage daily activities that support appropriate patient access to our client’s products in 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 resolve access issues to ultimately help patients.

As an FRS, a typical day might include:

1. 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.
2. Educate provider office staff on understanding payers’ coverage management strategies for the product, including coding, billing, formulary, prior authorization, and appeal processes.
3. Probe to understand office processes and discern root causes of access or reimbursement issues.
4. Deliver interactive educational presentations at various provider sites of service.
5. Provide information on relevant reimbursement topics related to our client’s products based on client’s approval.

Performs other related duties as assigned.

What your background should look like

• Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.
• Understanding 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.
• 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 the states of Tennessee, Kentucky, Indiana.

Nice to have:

• Bachelor's degree or specific Practice Management experience preferred.
• Project management skills.
• Experience with extensive travel.

What AmerisourceBergen offers

We offer a competitive total rewards package which includes benefits and compensation. Our commitment to our eligible population of team members includes benefit programs that are comprehensive, affordable, diverse, and designed to meet the needs of our team members’ and their families. Some of these programs include paid time off including paid parental leave, access to retirement savings vehicles, medical, dental, vision, and life insurance options, an employee stock purchase program, and other financial, health, and well-being focused benefits.

Because we take a balanced, global approach to our benefits, benefit offerings may vary by location, position, and/or business unit. Some benefits are company-paid, while others are available through team member contributions. For details visit https://www.virtualfairhub.com/amerisourcebergen.

Schedule

Full time

Affiliated Companies

Affiliated Companies: Xcenda, LLC

Equal Employment Opportunity

AmerisourceBergen 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.

AmerisourceBergen 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 888.692.2272 or email [e-mail]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned.