Field Reimbursement Specialist — Travel‑Heavy Access Educator

Cencora; East Windsor Hill (CT); Presencial; USD 95 000 - 148 000; Tempo integral

Resumo da oferta

Cencora is seeking a Field Reimbursement Specialist to educate provider offices on reimbursement and access for our products. The role covers travel within a designated territory to engage healthcare offices and support patient access to therapies, including biosimilars and cancer treatments.

The successful candidate will navigate payer policies, coding, and prior authorizations, working with cross-functional teams to resolve access issues and improve patient support services.

Qualificações

• Experience in revenue cycle, buy and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization, coding, and appeals processes.
• Broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care.
• Deep understanding of medical and pharmacy benefits/policies.
• Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.

Responsabilidades

• Educate provider office staff and practice managers on logistics needed to support client product and in-office administration.
• Educate on payers’ coverage management strategies including coding, billing, formulary, prior authorization, and appeals processes.
• Probe to understand office processes and root causes of access or reimbursement issues.
• Deliver interactive educational presentations at provider sites of service.
• Provide information on reimbursement topics based on client approvals.
• Perform other duties as assigned.

Conhecimentos

Field-based reimbursement

Specialty Pharmacy dynamics

Revenue cycle knowledge

Buy-and-bill understanding

Coding and appeals

Medical/pharmacy benefits

Customer education

Formação académica

High School Diploma or GED

Bachelor’s degree or Practice Management experience

Descrição da oferta de emprego

Cencora is seeking a Field Reimbursement Specialist to educate provider offices on reimbursement and access for our products. The role covers travel within a designated territory to engage healthcare offices and support patient access to therapies, including biosimilars and cancer treatments.

The successful candidate will navigate payer policies, coding, and prior authorizations, working with cross-functional teams to resolve access issues and improve patient support services.