McKesson
healthcare
FieldReimbursementManager
“Field Reimbursement Manager at McKesson. Skills: Reimbursement, Patient services, Benefit Investigation, Prior Authorization, Claims Assistance, Appeals, Payer landscape, Medicare and Commercial insurance plans and benefit structures. managing an assigned territory focused on supporting Reimbursement and Patient services. providing assistance with patient reimbursement challenges for a specific drug”
What You'll Achieve.
maximize the customer experience; ensure all customer needs are met; Monitor program performance for physicians and manufacturer representatives in accordance with expectations
Industry & Context.
Problem solving and decision-making skills
Must reside in territory, Must be able to travel 80% (4 days a week) via automobile or plane, Must have a valid driver's license with a clean driving record/ MVR, Possible long periods of sitting and/or keyboard work, General office demands
What They're Looking For.
Must Have
4+ years of healthcare related reimbursement experience
Nice to Have
Previous field experience, a plus, Previous experience with specialty pharmacy a plus, Account management experience, a plus, Experience supporting oncology products preferred
What You'll Do.
managing an assigned territory focused on supporting Reimbursement and Patient services
providing assistance with patient reimbursement challenges for a specific drug
educating the office on Payer landscape and services available
Provide on-site and on-demand education for the office staff in regard to Reimbursement challenges and support services
Educate on Benefit Investigation
Prior Authorization Process
Support Center Services
Medicare and Commercial coverage and patient communication streams
Reimbursement Support on Case management
billing and coding updates
appropriate claims submission
Medical Benefit Interpretation
understanding medical necessity
claims and appeal assistance
information related to co-pay assistance and patient assistance programs
Monitor program performance for physicians and manufacturer representatives in accordance with expectations
Research and compile provider / manufacturer representative specific information for reimbursement database
How You'll Work.
Team & Collaboration
collaboratively with the internal program hub support services to ensure all customer needs are met; collaborate with case manager on average of 4/month and ad hoc as needed for escalations; Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information
Communication Scope
Excellent written and oral communication skills; Proven presentation skills and experience
Process & Methodology
project management, account coordination
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