Field Reimbursement Specialist

Job not on LinkedIn

🔥 0 minutes ago

🏄 California, Nevada, +2 more states – Remote

🏄 California – Remote 🎰 Nevada – Remote 🌲 Oregon – Remote ☕ Washington – Remote

💵 $93.5k - $187k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Recruiting.com

WebsiteLinkedInAll Job Openings

11 - 50 employees

🎯 Recruiter

☁️ SaaS

🤝 B2B

💰 Private Equity Round on 2006-06

Recruitment • SaaS • B2B

Recruiting. com is a recruitment platform that collects personal and non-personal information from job seekers to be used by recruiters and hiring managers. Users can submit their resumes or fill out a short form to be considered for current and future job opportunities. The site emphasizes user privacy and allows users to manage their personal data, including modifying, changing, and deleting their information. Recruiting. com securely stores user data until they request deletion, providing a comprehensive recruitment solution for both job seekers and employers.

📋 Description

• Serve as a subject-matter expert on reimbursement, access, and coverage issues • Educate healthcare providers and their staff on complex insurance and reimbursement processes • Resolve access barriers for patients accessing specialty medications • Act as liaison between providers, manufacturers, pharmacies, and payers • Provide education on reimbursement and access considerations specific to specialty medications • Conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners • Deliver interactive educational presentations at various provider sites • Probe to understand office processes and address access or reimbursement issues

🎯 Requirements

• High School Diploma/GED 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 • Understanding of pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies • Must be willing to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment

🏖️ Benefits

• Health insurance • Dental coverage • Vision coverage • Backup dependent care • Adoption assistance • Infertility coverage • Family building support • Behavioral health solutions • Paid parental leave • Paid caregiver leave • Professional development resources • Training programs • Mentorship programs • Employee resource groups • Volunteer activities