Field Reimbursement Manager

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

📋 Description

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

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

• Deliver on-site and on-demand educational sessions, such as 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 methods.

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

• Collaborate with case managers on approximately four cases monthly and manage escalations as necessary.

• Schedule appointments, conduct outbound calls to targeted offices, and assist with 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 report to management and clients.

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

• Research and gather provider and manufacturer representative information for the reimbursement database.

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

• Travel frequently and manage projects or accounts in line with client expectations.

⛳️ Requirements

• Candidate must reside in the Dallas, TX area.

• Bachelor’s degree in a relevant field or equivalent experience.

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

• Extensive medical reimbursement experience with Buy & Bill and/or specialty pharmacy.

• Experience within the healthcare industry, covering insurance verification, prior authorizations, claims adjudication, physician offices, or clinics.

• Familiarity with Medicare and commercial insurance coverage.

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

• Demonstrated presentation skills and experience.

• Proficiency in managing multiple priorities with strong organizational skills.

• High level of computer literacy, including PowerPoint and experience with web meetings.

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

• Must possess a valid driver’s license with a clean driving record/MVR.

• Ability to work for extended periods while sitting or performing keyboard tasks.

🏝️ Benefits

• Competitive compensation package.

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

• McKesson Total Rewards benefits package.

• Flexible remote, work-from-home arrangement.

• Opportunities for career growth and professional development.

• Commitment to equal employment opportunities.

• Reasonable accommodations for job seekers with disabilities.