Field Reimbursement Manager

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Oversee a designated territory to support reimbursement and patient services for a particular medication.

• Aid in Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals processes.

• Deliver on-site and on-demand training sessions, including Lunch and Learns and Dinner presentations, for office personnel.

• Inform offices about benefit investigation, prior authorization, support center services, Medicare and commercial coverage, as well as patient communication channels.

• Offer reimbursement assistance related to case management, billing and coding updates, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, claims and appeals, and assistance programs.

• Collaborate with case managers approximately four times per month and as needed for escalations.

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

• Engage with physicians and manufacturer representatives to share patient- and provider-specific information.

• Document all interactions and activities in the FRM CRM and hub system, ensuring regular management and client reporting.

• Monitor territory and program performance using CRM dashboards, quarterly reports, and customer feedback surveys.

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

• Establish a facility database for each new provider within the FRM CRM.

• Travel extensively to perform site visits, manufacturer training sessions, and educational training events.

⛳️ Requirements

• Candidate must reside in the Charlotte, NC area.

• Bachelor's degree in a related field or equivalent experience.

• Minimum of 4 years of experience in healthcare-related reimbursement.

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

• Experience in the healthcare industry, including insurance verification, prior authorizations, claims adjudication, working in physician’s offices, or clinics.

• Familiarity with Medicare and commercial insurance coverage.

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

• Proven skills in presentation and experience.

• Ability to manage multiple priorities while demonstrating excellent organizational skills.

• Strong computer skills, including proficiency in PowerPoint and online meeting platforms.

• Previous field experience is advantageous.

• Prior experience in specialty pharmacy is a plus.

• Experience in account management is beneficial.

• Excellent interpersonal, written, and verbal communication skills.

• Strong problem-solving and decision-making capabilities.

• Must be willing to travel 80% of the time (four days per week) by car or plane.

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

• Potential for long periods of sitting or performing keyboard work.

🏝️ Benefits

• Competitive compensation package.

• Annual bonus or long-term incentive opportunities may be available.

• McKesson Total Rewards benefits.

• Option for remote, work-from-home arrangements.

• Opportunities for growth and professional development.

• Equal employment opportunities and support for reasonable accommodations.