Field Reimbursement Manager

McKesson•Usa, NY

2d•Remote

About The Position

The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting reimbursement and patient access by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client-facing and customer-facing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences. The Field Reimbursement Manager works independently in a fast paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRM will frequently interact via telephone with providers and internal staff to arrange site visits, Manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. Position will require travel, project management and/or account coordination based on client expectation.

Requirements

4-year degree in related field or equivalent experience.
Field Reimbursement experience preferred
HCP facing field experience (i.e. Field Reimbursement, sales, market access) highly preferred
Entry-level experience in project management
Minimum of 5 years healthcare related reimbursement experience with a balance on the HCP facing experience
Strong experience with Buy & Bill, Retail, 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 speak to benefit investigation outcomes and relay status reports on a regular basis.
Strong customer service and problem resolution experience
Proven presentation skills and experience
Ability to effectively handle multiple priorities within a changing environment.
Excellent organizational skills
Strong Computer literacy to include PowerPoint and Web Meeting experience
Must reside in territory
Must have a valid driver's license with a clean driving record/ MVR

Nice To Haves

Previous field experience, a plus
Previous experience with retail pharmacy a plus
Account management experience, a plus
Excellent Interpersonal skills.
Excellent written and oral communication skills
Problem solving and decision-making skills

Responsibilities

Provide on-site and on-demand education for the office staff in regard to reimbursement challenges and support services that are available.
Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams.
Reimbursement support, account management, billing and coding updates, appropriate claims submission, Retail Pharmacy/Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance programs.
Responsible for setting up appointments and completing virtual and/or outbound calls to provider offices.
Interface with physicians to obtain and provide patient and payer specific information.
Monitor program performance for physicians and manufacturer representatives in accordance with expectations.
Research and compile provider / manufacturer representative specific information for reimbursement database. (Includes account profiles)