Field Reimbursement Specialist — Travel & Access Expert

AmerisourceBergen Global Commercialization Services & Animal Health; Nashville (TN); On-site; USD 90,000 - 130,000; Full time

Job summary

Cencora in Nashville, TN is seeking a Field Reimbursement Specialist to educate providers on insurance and reimbursement topics, resolve access barriers, and support patient access to specialty medications. This role requires up to 80% travel and travel within a designated territory including multiple states.

Key activities include educating practice staff on payer policies, coding, prior authorization, and appeals; collaborating with reimbursement teams; and delivering targeted education at

Qualifications

• High School Diploma or GED is required.
• Bachelor's degree or relevant practice management experience preferred.
• Previous experience as Field Reimbursement Manager/Specialist preferred.
• Previous experience working in healthcare directly resolving pharmacy benefit access issues.
• Experience with extensive travel.
• Willing to obtain PACS certification within six months of employment.

Responsibilities

• Educate provider office staff on insurance issues within assigned territories.
• Educate on payers' coverage management strategies (coding, billing, formulary, prior authorization, appeals).
• Identify root causes of access or reimbursement issues.
• Deliver educational presentations at provider sites.
• Provide information on reimbursement topics approved by client.
• Travel within territory, including potential overnight stays.

Skills

Field reimbursement

Specialty pharmacy

Revenue cycle

Prior authorization

Coding & appeals

Pharmacy benefits

Time management

MS Office

Travel readiness

Education

High School Diploma/GED

Bachelor's degree or relevant practice management experience

Tools

MS Office

Job description

Cencora in Nashville, TN is seeking a Field Reimbursement Specialist to educate providers on insurance and reimbursement topics, resolve access barriers, and support patient access to specialty medications. This role requires up to 80% travel and travel within a designated territory including multiple states.

Key activities include educating practice staff on payer policies, coding, prior authorization, and appeals; collaborating with reimbursement teams; and delivering targeted education at