Field Reimbursement Manager

This is a fully remote position, open to applicants in Louisiana, +1 more state.

📋 Description

• Oversee a designated territory providing support for reimbursement and patient services related to a specific medication.

• Aid physician offices with Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals processes.

• Train office personnel on payer landscapes and available services through remote interactions and in-person training sessions.

• Cultivate relationships with physician offices and representatives from manufacturers.

• Deliver on-site and on-demand educational sessions, such as Lunch and Learns and Dinner presentations.

• Provide education on benefit investigations, prior authorizations, support center services, Medicare and commercial coverage, and patient communication methods.

• Offer reimbursement support that encompasses case management, billing and coding, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, copay assistance, and patient assistance programs.

• Collaborate with case managers on various cases and escalations.

• Schedule appointments, conduct outbound calls to targeted offices, and assist with backlog casework.

• Communicate with physicians and manufacturer representatives to exchange patient- and provider-specific information.

• Document all interactions and activities in the FRM CRM and hub system.

• Monitor territory and program performance, reporting trends to management and clients.

• Research and compile information on providers and manufacturer representatives for reimbursement databases.

• Develop facility databases for new providers in the FRM CRM.

• Travel frequently to meet client expectations and coordinate accounts.

⛳️ Requirements

• Candidates must reside within the St. Louis, MO or New Orleans, LA region.

• A 4-year degree in a relevant field or equivalent experience is required.

• A minimum of 4 years of experience in healthcare-related reimbursement is necessary.

• Strong background in medical reimbursement, particularly with Buy & Bill and/or Specialty Pharmacy.

• Experience in the healthcare industry, including insurance verification, prior authorizations, and/or claims adjudication.

• Previous experience in a physician’s office or clinic is preferred.

• Familiarity with Medicare and commercial insurance coverage is essential.

• Capability to deliver and document benefit investigation outcomes, providing regular status updates.

• Proven experience and skills in presentations.

• Ability to manage multiple priorities alongside strong organizational skills.

• Proficiency in computer use, including PowerPoint and experience with web meetings.

• Willingness to travel 80% of the time (approximately four days per week) by car or airplane.

• A valid driver's license with a clean driving record/MVR is required.

• Capability to work remotely from home and manage prolonged periods of sitting or keyboard work.

• Previous field experience, knowledge of specialty pharmacy, and account management experience are beneficial.

🏝️ Benefits

• Competitive compensation package offered.

• Potential for annual bonuses or long-term incentive opportunities.

• Access to benefits through McKesson’s Total Rewards program.

• Flexible remote work-from-home arrangement.

• Opportunities for career advancement and professional development.

• Empowerment to introduce new ideas and make a significant impact.