McKesson
Healthcare
FieldReimbursementManager
Neural analysis suggests this role is
optimal for Manager candidates.
“Field Reimbursement Manager at McKesson. Skills: Reimbursement support, Patient services, Benefit investigation, Prior authorization. Provide on-site and on-demand education. Educate office staff on reimbursement challenges”
Industry & Context.
Problem solving; Decision making
Reside in territory, Travel 80%, Valid driver's license, Clean driving record
What They're Looking For.
Must Have
4-year degree or equivalent experience, 4+ years healthcare reimbursement experience, Medicare and commercial insurance coverage experience, Ability to deliver and document benefit investigation outcomes, Ability to relay status reports regularly, Proven presentation skills, Proven ability to handle multiple priorities, Excellent organizational skills, Computer literacy including PowerPoint, Web meeting experience
Nice to Have
Experience supporting oncology products, Previous field experience, Previous experience with specialty pharmacy, Account management experience
What You'll Do.
Provide on-site and on-demand education
Educate office staff on reimbursement challenges
Educate on Benefit Investigation
Educate on Prior Authorization Process
Educate on Support Center Services
Educate on Medicare and Commercial coverage
Educate on patient communication streams
Provide Reimbursement Support on Case management
Provide support on billing and coding updates
Provide support on claims submission
Provide support on Specialty Pharmacy
Provide support on Medical Benefit Interpretation
Provide support on medical necessity
Provide claims and appeal assistance
Provide information on co-pay assistance
Provide information on patient assistance programs
Collaborate with case manager
Complete outbound calls
Assist in completing backlog casework
Perform day-to-day in-office work
Interface with physicians
Interface with manufacturer representatives
Obtain patient specific information
Provide patient specific information
Obtain provider specific information
Provide provider specific information
Monitor program performance
Research provider specific information
Compile provider specific information
Research manufacturer representative specific information
Compile manufacturer representative specific information
Create facility database
Build interactions utilizing database
How You'll Work.
Team & Collaboration
Internal program hub support services; Physician offices; Manufacturer representatives
Communication Scope
Presentation skills; Written communication; Oral communication
Full Job Description
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you. The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client-facing and customer-facing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences. The Field Reimbursement Manager works independently in a fast paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRM will frequently interact via telephone with providers and internal staff to arrange site visits, Manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. Position will require travel, project management and/or account coordination based on client expectation. **Key Responsibilities:** * Provide on-site and on-demand e
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