Field Reimbursement Manager

About the role

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. The CoverMyMeds Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug and educating the office on Payer landscape and services available through both remote interaction and on-site training.

Responsibilities

• Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) for 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.
• Provide reimbursement support on case management, billing and coding updates, claims submission, Specialty Pharmacy, Medical Benefit Interpretation, medical necessity, claims and appeal assistance, co-pay assistance, and patient assistance programs.
• Collaborate with case managers for escalations and track interactions in FRM CRM and hub system.
• Set up appointments and complete outbound calls to targeted offices; assist with backlog casework.
• Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information.
• Monitor program performance for physicians and manufacturer representatives via FRM CRM dashboard; identify trending results through quarterly reporting.
• Research and compile provider/manufacturer-specific information for reimbursement database and create facility database on each new provider in FRM CRM.

Requirements

• 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.
• Healthcare industry experience including insurance verification, prior authorizations, and/or claim adjudication; physician’s office or clinics.
• Medicare and commercial insurance coverage experience.
• Ability to deliver and document benefit investigation outcomes and relay status reports regularly.
• Proven presentation skills and experience.
• Proven ability to handle multiple priorities and excellent organizational skills.
• Strong computer literacy including PowerPoint and Web Meeting experience.

Specialized Knowledge/Skills

• Previous field experience preferred.
• Previous experience with specialty pharmacy preferred.
• Account management experience preferred.
• Excellent interpersonal skills.
• Excellent written and oral communication skills.
• Problem-solving and decision-making skills.

Working Conditions

• Remote, work-from-home setup.
• Must reside in the Nashville, TN area.
• Must be able to travel 80% (4 days per week) via automobile or plane; valid driver’s license with a clean driving record required.
• Possible long periods of sitting and/or keyboard work.

Pay

Base Pay Range: $72,200 – $120,400