Reimbursement Specialist (Full-Time)
Provident Behavioral Health · Connecticut panhandle County, CT · 1 wk ago
On-siteFinanceFull-time
Role Overview: The Field Reimbursement Specialist (FRS) educates healthcare providers on access, reimbursement, and coverage for life-changing therapies, ensuring patient access within assigned territories. Key Responsibilities Engage with provider office staff to explain logistics, billing, coding, prior authorization, and payer policy updates related to specified products.Assess office processes to identify and resolve access or reimbursement barriers.Deliver interactive educational presentations at healthcare sites.Act as a liaison to patient assistance and reimbursement support services.Travel within designated areas, including overnight trips, to support healthcare providers. Qualifications & Skills Experience in reimbursement, revenue cycle, buy-and-bill models, formulary, prior authorization, coding, and appeals processes.Strong understanding of medical and pharmacy benefits/policies and the dynamics of specialty pharmacy/distribution.Ability to conduct field-based education and consultations.High School Diploma or GED required; Bachelor's degree or practice management experience preferred.Project management skills and extensive travel experience are advantageous.Bilingual skills are desirable. Additional Details: The role offers competitive compensation, inclusive benefits supporting wellness and personal growth, and promotes an inclusive, equal opportunity work environment.