Field Reimbursement Manager
$80,300–$133,800 year
RemoteColumbus, Ohio, United States
Job Summary
Manage an assigned territory by providing on-site and virtual reimbursement support, including benefit investigations, prior authorizations, claims assistance, and appeals for specific drugs. Conduct an average of 15 office interactions weekly through Lunch and Learns, Dinner presentations, and remote calls to educate office staff on payer landscapes and services. Collaborate with case managers monthly to handle escalations, track all activities in the FRM CRM, and monitor territory performance via daily dashboards. Research and compile provider and manufacturer data to maintain accurate facility databases and support billing, coding, and co-pay assistance programs. This role requires residing in the Columbus, OH area and traveling 80% of the time, reporting directly to a manager with quarterly client trended data.
Required Qualifications
- Reside within the Columbus, OH 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 skills
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.