Field Reimbursement Specialist
Job Details
Please Note: Interested candidates must live within a reasonable commuting distance of a major airport in the listed location and be able to travel up to 80% within a territory that includes but may not be limited to Washington, Oregon, Northern California, and Northern Nevada.
About the Role
The Field Reimbursement Specialist (FRS) plays a critical role in ensuring patients can access specialty medications by educating healthcare providers and their staff on complex insurance and reimbursement processes and resolving access barriers.
Responsibilities
- Educating providers and their office staff on access and reimbursement topics using client-approved resources.
- Supporting appropriate patient access to the client’s products by resolving reimbursement and coverage challenges.
- Collaborating with other patient assistance and reimbursement support services offered by the client.
- Weekly travel, including potential overnight stays, to healthcare offices within a designated territory.
- Delivering interactive educational presentations at various provider sites of service.
- Providing information on relevant reimbursement topics related to our client’s products based on client’s approval.
Skills and Abilities
- Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.
- Understands the dynamics of specialty pharmacy.
- Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes.
- Deep understanding of pharmacy benefits/policies.
- Strong time management and planning skills.
- Proficient in Microsoft Word, Powerpoint, Excel, and Outlook.
Qualifications
- 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.
- Experience with extensive travel.
- Candidates must be willing to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment.
Benefits
What Cencora offers includes:
- Compensation, benefits, and resources that enable a highly inclusive culture and support team members' ability to live with purpose every day.
- A comprehensive suite of benefits focusing on physical, emotional, financial, and social wellness aspects.
- Support for working families, including backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
- Variety of training programs, professional development resources, and opportunities for mentorship, employee resource groups, volunteer activities, and more.
Pay
Full-time Salary Range: $93,500 - 187,000
This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.
Equal Employment Opportunity
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
Company Information
We are affiliated with Cencora Patient Services, LLC.