Strategic Field Reimbursement Lead

McKesson; Kentucky; Hybrid; USD 80,300 - 133,800; Full time

Job summary

McKesson is seeking a Field Reimbursement Manager to support reimbursement and patient services across a defined territory, including education for office staff and coordination with physician offices and manufacturer reps.

The FRM role requires travel, strong Medicare and commercial insurance knowledge, and experience with Buy & Bill or specialty pharmacy. A 4-year degree and 4+ years in reimbursement are preferred.

Qualifications

• 4-year degree in related field or equivalent experience.
• 4+ years of healthcare related reimbursement experience.
• Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
• Experience supporting oncology products preferred.
• Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics.
• 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 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, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance.
• Responsible for setting up appointments and completing outbound calls to targeted offices; assist in backlog casework.
• Monitor program performance for physicians and manufacturer representatives; track interactions in CRM/hub systems.
• Research and compile provider/manufacturer representative information for reimbursement database; create facility databases in FRM CRM.

Skills

Field reimbursement

Medicare/Commercial insurance

Presentation skills

Project coordination

Education

4-year degree

Tools

PowerPoint

Web Meeting

Job description

McKesson is seeking a Field Reimbursement Manager to support reimbursement and patient services across a defined territory, including education for office staff and coordination with physician offices and manufacturer reps.

The FRM role requires travel, strong Medicare and commercial insurance knowledge, and experience with Buy & Bill or specialty pharmacy. A 4-year degree and 4+ years in reimbursement are preferred.