Field Reimbursement Specialist

Location

Florida

Posted

5 days ago

Salary

0

Seniority

Senior

High SchoolEnglish

Job Description

Field Reimbursement Specialist

Recruiting.com

• 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 • Meeting directly with healthcare providers and their office staff to provide education on reimbursement and access considerations • Delivering interactive educational presentations at various provider sites of service

Job Requirements

  • High School Diploma/GED required
  • Previous experience as Field Reimbursement Manager/Specialist preferred
  • Bachelor's degree or relevant practice management experience preferred
  • Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers
  • Understanding of 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
  • Willing to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months

Benefits

  • Health insurance
  • Paid parental leave
  • Paid caregiver leave
  • Infertility coverage
  • Family building support
  • Behavioral health solutions
  • Backup dependent care
  • Professional development resources
  • Training programs
  • Mentorship programs
  • Volunteer activities

Related Job Pages

More Reimbursement Specialist Jobs

Merit Medical Oncology logo

Senior Reimbursement Specialist

Merit Medical Oncology

We're on a Mission to Ease the Burden Cancer Places on Patients and Their Loved Ones. #BreastSurgery #PatientCare

Full TimeRemoteTeam 5,001-10,000Since 1987H1B No Sponsor

• Executes and optimizes US reimbursement strategies that support business objectives across prioritized product and therapy areas. • Provides reimbursement and health policy guidance to product development, working in close partnership with clinical, regulatory, marketing, and sales teams. • Partners with HEOR to assess global evidence needs and support development of payer‑relevant data. • Analyzes reimbursement landscapes and contributes to coding, coverage, and payment pathway development including evaluation of relevant data analytics pertaining to health policy initiatives. • Educates internal leaders and field teams on reimbursement requirements and business impact. • Builds and maintains relationships with payers, government agencies, professional societies, and advocacy groups. • Identifies reimbursement barriers, develops initiatives, and supports implementation of programs that improve market access. • Designs and delivers reimbursement education for internal and external stakeholders. • Represents, as a leader, the expertise and perspective of the Reimbursement/Market Access function to the business divisions it supports. • Performs other duties, as required.

Utah
Merit Medical Oncology logo

Senior Reimbursement Specialist

Merit Medical Oncology

We're on a Mission to Ease the Burden Cancer Places on Patients and Their Loved Ones. #BreastSurgery #PatientCare

Full TimeRemoteTeam 5,001-10,000Since 1987H1B No Sponsor

• Supports execution of reimbursement strategies aligned with business priorities and product lifecycle needs • Provides reimbursement and health policy guidance to clinical, regulatory, marketing, and sales partners • Contributes to evidence planning by partnering with HEOR to identify payer‑relevant data needs • Analyzes reimbursement landscapes and supports development of coding, coverage, and payment pathways and internal and external communication tools • Educates internal teams on reimbursement requirements, payer trends, and implications for product adoption • Identifies reimbursement barriers and supports implementation of solutions to improve patient access • Develops and delivers reimbursement education for internal teams and external stakeholders • Performs other duties, as required

United States
UBC logo

Senior Reimbursement Specialist

UBC

Patients First. Powered by Evidence.

Full TimeRemoteTeam 1,001-5,000Since 2003H1B No Sponsor

• Provide high quality customer service • Effectively interface with patients, patient’s families, national payers, home cares and medical doctor’s offices • Conduct benefit investigations, verify insurance benefits for patient and physicians’ offices • Submit and obtain prior authorizations as required by payer • Obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval • Accurately enter and maintain data as required in client database and patient files • Utilize the client database to monitor outstanding items on each client case file • Ensure files are complete so team can determine the current status • Participate in conference calls as needed with Client Sales Representatives, client management and physicians’ offices regarding status of cases • Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient • Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Sales Reps, pharmacies and homecare agencies • Educate patients, prescribers, and others regarding program requirements, and facilitate referrals • Maintain good housekeeping techniques, adhering to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures

United States
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor

• Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. • We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity.

Utah
$19 - $22 / hour