Field Reimbursement Specialist

🔥 0 minutes ago

🦌 Connecticut, New York, +1 more states – Remote

🦌 Connecticut – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote

💵 $94.5k - $148.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Cencora

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Cencora is a company dedicated to improving the health and well-being of both people and animals globally. Built on the legacy of AmerisourceBergen, Cencora offers a wide range of industry-leading solutions that encompass specialty logistics, warehousing, drug research, clinical development support, and more. They provide commercialization and patient access support and offer wholesale and specialty distribution services. Cencora serves a diverse clientele, including pharmaceutical companies, physician practices, pharmacies, and health systems. The company also extends its services to animal health, managing operations and delivering products for animal pharmaceutical care. With a strong global footprint, Cencora aims to reshape healthcare delivery through innovative products and solutions, striving to create healthier futures for all.

📋 Description

• Educate provider office staff and practice managers on logistics needed to support client products, including infrastructure for in-office administration, buy and bill, product monitoring, and coverage and payer policy changes • Educate provider office staff on payer coverage management strategies, including coding, billing, formulary, prior authorization, and appeal processes • Probe office processes and discern root causes of access or reimbursement issues • Deliver interactive educational presentations at various provider sites of service • Provide information on relevant reimbursement topics related to client products based on client approval • Manage daily activities supporting patient access to client products in provider offices • Act as a liaison to patient assistance and reimbursement support services • Plan and engage with customers using client-approved resources • Travel weekly, sometimes overnight, to healthcare offices within the designated territory • Perform other duties as assigned

🎯 Requirements

• Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners • Understanding of Specialty Pharmacy versus Specialty Distribution • Broad understanding of the physician buy-and-bill model versus 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 • High School Diploma or GED required • Bachelor's degree or specific Practice Management experience preferred • Project management skills • Experience with extensive travel • Bilingual desirable but essential

🏖️ Benefits

• Medical, dental, and vision care • Backup dependent care • Adoption assistance • Infertility coverage • Family building support • Behavioral health solutions • Paid parental leave • Paid caregiver leave • Training programs • Professional development resources • Mentorship programs • Employee resource groups • Volunteer activities