McKesson
Healthcare
FieldReimbursementManager
Neural analysis suggests this role is
optimal for Manager candidates.
“Field Reimbursement Manager at McKesson. Skills: Reimbursement management, Patient services, Benefit investigation, Prior authorization. Manage assigned territory. Support patient reimbursement challenges”
What You'll Achieve.
Maximize customer experience; Ensure all customer needs are met
Industry & Context.
Problem solving; Decision making
Reside in territory, Travel 80%, Possible long periods of sitting, Keyboard work
What They're Looking For.
Must Have
4-year degree or equivalent experience, 4+ years healthcare reimbursement experience, Medicare and commercial insurance coverage experience, Valid driver's license with clean record
Nice to Have
Experience supporting oncology products, Previous field experience, Previous experience with specialty pharmacy, Account management experience
What You'll Do.
Manage assigned territory
Support patient reimbursement challenges
Provide assistance with benefit investigation
Provide assistance with prior authorization
Provide assistance with claims assistance
Provide assistance with appeals
Educate offices on Payer landscape
Educate offices on available services
Build relationships with physician offices
Build relationships with manufacturer representatives
Deliver services based on customer preferences
Collaborate with internal program hub support services
Ensure customer needs are met
Interact via telephone with providers
Interact via telephone with internal staff
Arrange manufacturer trainings
Arrange educational training venues
Provide on-site education
Provide on-demand education
Conduct Lunch and Learns
Conduct Dinner presentations
Educate office staff on reimbursement challenges
Educate office staff on support services
Record daily activities in FRM CRM
Report to manager weekly
Educate on benefit investigation process
Educate on prior authorization process
Educate on support center services
Educate on Medicare coverage
Educate on Commercial coverage
Educate on patient communication streams
Report monthly activity
Provide reimbursement support on case management
Provide reimbursement support on billing updates
Provide reimbursement support on coding updates
Provide reimbursement support on claims submission
Provide reimbursement support on specialty pharmacy
Provide reimbursement support on medical benefit interpretation
Provide reimbursement support on medical necessity
Provide reimbursement support on claims assistance
Provide reimbursement support on appeal assistance
Provide reimbursement support on co-pay assistance programs
Provide reimbursement support on patient assistance programs
Collaborate with case manager
Complete outbound calls to targeted offices
Complete 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
Track all FRM interactions/activities in FRM CRM
Monitor program performance for physicians
Monitor program performance for manufacturer representatives
Identify trending results
Research provider specific information
Compile provider specific information
Research manufacturer representative specific information
Compile manufacturer representative specific information
Create a facility database on each new provider
Build all interactions utilizing facility database
How You'll Work.
Team & Collaboration
Collaborate with internal program hub support services
Communication Scope
Presentation skills; Written communication; Oral communication
Process & Methodology
Project management
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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