Description
FIELD REIMBURSEMENT MANAGER (Specialty drugs and or Buy & Bill Drugs)
FAST START
Travel territory position, visiting provider offices all around your territory
A MUST : Expert level in Prior Authorizations for Specialty Drugs, Access and Reimbursement , Patient Access to drug therapies. Newly launched specialty drug (already launched). Some kind of field experience.
Live in the territory
based out of your home ,
travel
to provider offices around your territory . territory includes cities in TN, KY, IN.
Key Responsibilities
Provide on-demand education (in-person and virtual) for the doctor's office staff in regard to Reimbursement challenges and support services that are available
for these Specialty Drugs and Buy & Bill drugs.
Educate The Provider's Office Team
Benefit Investigation / Prior Authorization Process for the specialty drugs.
Support Center Services (hub)
Medicare and Commercial coverage
Educate on the patient communication streams
Provide Reimbursement Support
Drug Therapy Case management
Billing and coding updates
Appropriate claims submission
Specialty Pharmacy
Medical Benefit Interpretation
Understanding medical necessity
Claims / Appeal assistance
Information related to co-pay assistance programs
Information related to patient assistance programs
Responsible
for managing your territory: making outbound calls to set up appointments to targeted offices.
In person and in virtual meetings and calls: Interface with physician's Office Staff and MA's and Drug Manufacturer Reps to obtain and provide patient and provider specific information.
Assist in completing backlog casework.
Monitor program performance for physicians and manufacturer representatives in accordance with expectations.
Research and compile provider / manufacturer representative specific information for reimbursement database.
Travel Days are Tues, Wed, Thurs (by car or flight). Arrange your own appointments within your territory. Emphasis is on live in-person office visitations. Usually Tu – Thur with Mondays and Fridays your at home office days
Minimum Requirements
This is a good role for an FRM looking for stability
I'm looking for candidates with field/territory experience because that is the whole point of a Field Reimbursement Manager.
BA degree or RELATED EXPERIENCE (WE LIKE THE FRM EXPERIENCE)
4-5 years specialty drug related reimbursement experience, reimbursement advocacy
Medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
Insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics.
Medicare and commercial insurance coverage experience.
Deliver and document benefit investigation outcomes and relay status reports on a regular basis.
Ability to effectively handle multiple priorities within a changing environment.
Strong Computer literacy, including MS Teams, PowerPoint, Web Meeting experience
Interviewing immediately for mid May 2024 start .
Apply Now
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