McKesson
healthcare
FieldReimbursementManager
Neural analysis suggests this role is
optimal for Mid candidates.
“Field Reimbursement Manager at McKesson. Skills: Reimbursement, Benefit Investigation, Prior Authorization, Claims Assistance, Appeals, Medicare, Commercial insurance plans. 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, medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy, Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics, Must have Medicare and commercial insurance coverage experience, Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis, Proven presentation skills and experience, Proven ability to effectively handle multiple priorities and excellent organizational skills, Computer literacy to include PowerPoint and Web Meeting experience
Nice to Have
Experience supporting oncology products preferred, Previous field experience, a plus, Previous experience with specialty pharmacy a plus, Account management experience, a plus
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 through both remote interaction and on-site training
build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences
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
frequently interact via telephone with providers and internal staff to arrange site visits
Manufacturer trainings
and educational training venues
Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) for the office staff in regard to Reimbursement challenges and support services that are available
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
Responsible for setting up appointments and completing outbound calls to targeted offices
Assist in completing backlog casework
Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information
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
Process & Methodology
project management, account coordination
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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