Field Reimbursement Manager
Location
New York
Posted
2 days ago
Salary
$88.3K - $147.1K / year
Seniority
Senior
Job Description
Field Reimbursement Manager
McKesson
• Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) for the office staff in regard to Reimbursement challenges and support services that are available. • Office interaction will include education and reimbursement support. • On-site/virtual interactions will average 15 per week. • Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. • Monthly activity reporting captures educational topics at FRM level reportable to client based on client expectation. • Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs. • Responsible for setting up appointments and completing outbound calls to targeted offices. • Assist in completing backlog casework. • Additional day-to-day in-office work. • Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information. • Monitor program performance for physicians and manufacturer representatives in accordance with expectations.
Job 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
- Experience supporting oncology products preferred
- Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics.
- Must have Medicare and commercial insurance coverage experience.
- Proven presentation skills and experience
- Proven ability to effectively handle multiple priorities and excellent organizational skills
- Strong Computer literacy to include PowerPoint and Web Meeting experience
- Previous field experience, a plus
- Previous experience with specialty pharmacy a plus
- Account management experience, a plus
- Excellent Interpersonal skills.
- Excellent written and oral communication skills
- Problem solving and decision-making skills
Benefits
- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements
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