Field Reimbursement Manager
Core
Manage assigned territory to support patient reimbursement challenges (Benefit Investigation, Prior Authorization, Claims Assistance, Appeals) and educate office staff on payer landscape and services.
Role type
Field Reimbursement Manager
Builds
Patient access to coverage and reimbursement services for specific drugs
Domain
Healthcare / Pharmacy Benefit Management
Deliverable
client delivery
Required skills
Medicare and commercial insurance knowledge, Benefit Investigation, Prior Authorization, Claims submission, Appeals handling, Specialty Pharmacy knowledge, Account management, Presentation skills, CRM usage
Preferred skills
Previous field experience, Specialty pharmacy experience, Account management experience
Responsibilities
Provide on-site and virtual education to office staff on reimbursement processes, Manage case management and billing updates, Conduct outbound calls and set up appointments, Monitor program performance for physicians and reps, Research and compile provider/manufacturer data
Seniority
Mid-level, hands-on IC