Field Reimbursement Manager
Core
Manage assigned territories to support patient reimbursement challenges (Benefit Investigation, Prior Authorization, Claims Assistance, Appeals) and educate physician offices on payer landscapes and services.
Role type
Field Reimbursement Manager (client-facing IC)
Builds
Patient access to medications and reimbursement services for physician offices
Domain
Healthcare / Pharmacy Benefit Management
Deliverable
client delivery
Required skills
Medicare and commercial insurance knowledge, benefit investigation, prior authorization, claims adjudication, case management, presentation skills, territory management
Preferred skills
Specialty pharmacy experience, GLP-1 and Cardiology product support, account management, previous field experience
Technologies
CRM systems, PowerPoint, Web Meeting tools
Responsibilities
Conduct on-site and virtual education for office staff on reimbursement processes; manage case management, billing, coding, and claims submission; coordinate with case managers for escalations; monitor program performance via CRM dashboards; research and compile provider/manufacturer data for reimbursement databases.
Seniority
Mid-level, hands-on IC
