Field Reimbursement Specialist

🔥 1 hour ago

🌽 Illinois, Michigan – Remote

🌽 Illinois – Remote 🚗 Michigan – Remote

💵 $94.5k - $148.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Serve as a subject-matter expert on reimbursement, access, and coverage issues • Educate healthcare providers, office staff, and practice managers on insurance, reimbursement, coding, billing, formulary, prior authorization, and appeals processes • Support patient access to client products by resolving reimbursement and coverage challenges • Collaborate with patient assistance and reimbursement support services • Liaise between providers, manufacturers, pharmacies, and payers • Inform office staff about coverage and payer policy changes within assigned territories • Probe office processes and identify root causes of access or reimbursement issues • Deliver interactive educational presentations at provider sites of service • Provide approved reimbursement information related to client products • Perform other related duties as assigned

🎯 Requirements

• Must live within a reasonable commuting distance of a major airport in Illinois, Indiana, or Michigan • Ability to travel up to 50% within a territory including Indiana, Michigan, and Illinois • Weekly travel, including potential overnight stays • High School Diploma/GED required • Previous experience working in healthcare directly resolving pharmacy benefit access issues • Experience with extensive travel • Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes • Understanding of specialty pharmacy dynamics • Deep understanding of pharmacy benefits/policies • Proficient in Microsoft Word, PowerPoint, Excel, and Outlook • Strong time management and planning skills • Willingness to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment • Bachelor's degree or relevant practice management experience preferred • Previous experience as Field Reimbursement Manager/Specialist preferred

🏖️ 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