Field Reimbursement Manager

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

📋 Description

• Oversee a designated territory, providing reimbursement and patient services for a particular medication.

• Assist patients with Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals processes.

• Inform physician offices about payer landscapes and available services through virtual interactions and in-person training sessions.

• Cultivate relationships with physician offices and manufacturer representatives.

• Deliver on-site and on-demand educational presentations, including Lunch and Learns and Dinner presentations.

• Educate offices regarding Benefit Investigation, Prior Authorization, Support Center Services, Medicare and Commercial coverage, and channels of patient communication.

• Offer reimbursement support for case management, billing and coding, claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, claims and appeals, co-pay assistance, and patient assistance programs.

• Collaborate with case managers on escalated issues.

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

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

• Document interactions and activities in FRM CRM and hub systems and report findings to management and clients.

• Monitor territory and program performance through CRM dashboards, reporting, and customer feedback surveys.

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

• Establish facility databases for new providers.

• Travel as necessary according to client expectations.

⛳️ Requirements

• Candidates must reside in the Columbus, OH area.

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

• A 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, and working in physician offices or clinics.

• Familiarity with Medicare and commercial insurance coverage is essential.

• Ability to deliver and document outcomes of benefit investigations and provide regular status updates.

• Demonstrated presentation skills and experience.

• Capacity to manage multiple priorities with exceptional organizational skills.

• Proficient in computer literacy, particularly in PowerPoint and web meeting platforms.

• Previous field experience is advantageous.

• Experience in specialty pharmacy is a plus.

• Background in account management is beneficial.

• Excellent interpersonal, written, and verbal communication skills are required.

• Strong problem-solving and decision-making capabilities are essential.

• Must be able to travel 80% of the time—four days a week—by automobile or plane.

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

• Ability to handle long periods of sitting and/or keyboard work.

🏝️ Benefits

• Competitive compensation package.

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

• Comprehensive benefits package through McKesson Total Rewards.

• Flexible remote work-from-home arrangement.

• Opportunities for professional growth and development.

• Commitment to equal employment opportunity and reasonable accommodation support.