Specialist - Field Reimbursement

Cencora • USA > NC > Remote, SC

6d

About The Position

Field Reimbursement Specialists (FRSs) educate provider office staff and practice managers on access and reimbursement topics relevant to an assigned client’s product, using client-approved resources. They support appropriate patient access to client products in provider offices and serve as liaisons to other patient assistance and reimbursement support services offered by clients. The role involves regular travel to healthcare offices within an assigned territory to educate staff on coverage, patient assistance, health policy, and access issues.

The territories for this role are North Carolina, South Carolina, and Georgia. Candidates must reside within the territory and may travel up to 80% within the specified area, including overnight trips. The position provides field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.

Requirements

• Ability to provide field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.
• Understanding of the dynamics of specialty pharmacy versus specialty distribution.
• Broad understanding of the physician buy-and-bill model versus assignment of benefits to alternate sites of care.
• Experience with 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 and policies.
• Must reside within North Carolina, South Carolina, or Georgia.
• Ability to travel up to 80% within the specified territory, including overnight trips.

Nice To Haves

• Bachelor's degree or specific practice management experience preferred.
• Project management skills.
• Experience with extensive travel.
• Bilingual ability is desirable.

Responsibilities

• Educate provider office staff and practice managers about logistics and infrastructure needed to support client products, including in-office administration, buy-and-bill, product monitoring, and relevant coverage and payer policy changes.
• Educate provider office staff about payer coverage management strategies, including coding, billing, formulary, prior authorization, and appeals.
• Explore provider-office processes and identify root causes of access or reimbursement issues.
• Deliver interactive educational presentations at provider sites of service.
• Provide information on relevant reimbursement topics related to client products, as approved by the client.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision care.
• Backup dependent care may be available.
• Adoption assistance.
• Infertility coverage and family-building support.
• Behavioral health solutions.
• Paid parental leave.
• Paid caregiver leave.
• Training programs and professional development resources.
• Mentorship programs.
• Employee resource groups.
• Volunteer activities.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed