Field Reimbursement Manager
$76,300–$127,100 year
RemoteCharlotte, North Carolina, United States
Job Summary
Manage assigned territory by providing on-site and virtual reimbursement support, including benefit investigations, prior authorizations, claims assistance, and appeals. Deliver weekly education sessions to office staff on Medicare and commercial coverage while collaborating with case managers for escalations. Conduct outbound calls to set appointments and compile provider data into the CRM database, tracking all activities and performance metrics daily. Monitor program performance via dashboard reports and complete monthly and quarterly activity summaries for clients. This role requires 80% travel within the Charlotte, NC area and 4+ years of healthcare reimbursement experience.
Required Qualifications
- Must reside in Charlotte, NC area
- 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
- 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
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 skill
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.