Field Reimbursement Manager
$76,300–$127,100 year
RemoteOrlando, Florida, United States
Job Summary
Manage a territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges, including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals. Deliver on-site and virtual education to office staff regarding reimbursement processes, Medicare and Commercial coverage, and patient communication streams, averaging 15 interactions weekly. Collaborate with case managers and manufacturer representatives to handle escalations, set up appointments, and complete outbound calls to targeted offices. Track all activities in the FRM CRM, generate daily reports, and monitor program performance via dashboards. This role requires residing in the Orlando, FL area and traveling 80% of the time.
Required Qualifications
- 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 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
- Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis
- 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
- Must reside in territory - Orlando, FL
- Must be able to travel 80% (4 days a week) via automobile or plane
- Must have a valid driver's license with a clean driving record/ MVR
Desired Qualifications
- 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
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