McKesson

Healthcare

FieldReimbursementManager

$80–134k Virginia, United States FULL TIME Remote Friendly
The Brief

“Field Reimbursement Manager at McKesson. Skills: Reimbursement support, Patient services, Client relationship management. Manage assigned territory. Support patient reimbursement challenges”

Industry & Context.

Healthcare
Problems you'll solve

Problem solving; Decision making

Eligibility Requirements

Reside in territory, Travel 80%, Possible long periods of sitting, Keyboard work

What They're Looking For.

Must Have

4-year degree in related field or equivalent experience, 4+ years of healthcare related reimbursement experience, Medicare and commercial insurance coverage experience, Deliver and document benefit investigation outcomes, Relay status reports on a regular basis, Proven presentation skills, Proven ability to effectively handle multiple priorities, Excellent organizational skills, Computer literacy to include PowerPoint, Web Meeting experience, Valid driver's license, Clean driving record/ MVR

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 office on Payer landscape

Educate office on services available

Build relationships with physician offices

Build relationships with manufacturer representatives

Deliver services based on customer preferences

Collaborate with internal program hub support

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

Provide Lunch and Learns

Provide Dinner presentations

Educate on Benefit Investigation

Educate on Prior Authorization Process

Educate on Support Center Services

Educate on Medicare coverage

Educate on Commercial coverage

Educate on patient communication streams

Provide Reimbursement Support

Provide 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 understanding medical necessity

Provide support on claims and appeal assistance

Provide information related to co-pay assistance

Provide information related to patient assistance programs

Collaborate with case manager

Complete outbound calls to targeted offices

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 for physicians

Monitor program performance for manufacturer representatives

Research provider specific information

Compile provider specific information

Research manufacturer representative specific information

Compile manufacturer representative specific information

Create a facility database

Build interactions utilizing database

How You'll Work.

Team & Collaboration

Collaborate with internal program hub support; Collaborate with case manager

Communication Scope

Written communication; Oral communication; Presentation skills

Process & Methodology

Project management, Account coordination

Free ATS check

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