Field Reimbursement Specialist

Cencora • CA

90d • $88,700 - $126,940

About The Position

At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. Field Reimbursement Specialists (FRSs) are responsible for providing field support for patient access to client’s specified products through interaction with the client’s patient support program and provider customers. FRSs provide their expertise and advanced skills to resolve complex patient access and provider reimbursement issues and to provide educational services across a variety of healthcare provider sites of care. FRSs work directly with the provider and their office support staff and commonly interact with other reimbursement and patient support services provided by clients. FRSs will plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client’s product. The FRS will manage daily activities that support appropriate patient access to our client’s products in the provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients.

Requirements

• High School Diploma/GED required.
• Bachelor's degree or specific Practice Management experience preferred.
• Project management skills.
• Experience with extensive travel.
• Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment.

Nice To Haves

• Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.
• Broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care.
• Experience in revenue cycle, buy and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization, coding, and appeals processes.
• Deep understanding of medical and pharmacy benefits/policies.

Responsibilities

• Educate provider office staff and practice managers on logistics needed to support client product.
• Educate provider office staff with understanding the payers’ coverage management strategies for product.
• Probe to understand office processes and discern root causes of access or reimbursement issues.
• Deliver interactive educational presentations at various provider sites of service.
• Provide information on relevant reimbursement topics related to our client’s products based on client’s approval.
• Perform other related duties as assigned.

Benefits

• Medical, dental, and vision care.
• Backup dependent care.
• Adoption assistance.
• Infertility coverage.
• Family building support.
• Behavioral health solutions.
• Paid parental leave.
• Paid caregiver leave.
• Training programs.
• Professional development resources.
• Opportunities to participate in mentorship programs, employee resource groups, volunteer activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees