Field Reimbursement Manager - Adecco : Job Details

Field Reimbursement Manager

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 manufacture 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

Minimum Job Qualifications

Education/Training:

• 4-year degree in related field or equivalent experience

Business Experience:

• Entry-level experience in project management • Minimum of 8 years healthcare related reimbursement experience • Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy • Experience supporting program specific drug therapy space, i.e., oncology, dermatology, etc. • 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 • Strong customer service experience • Proven presentation skills and experience • Ability to effectively handle multiple priorities within a changing environment • Excellent organizational skills • Strong Computer literacy to include PowerPoint and Web Meeting experience

Specialized Knowledge/Skills:

• Previous field experience, a plus • Previous experience with specialty pharmacy a plus • Account management experience, a plus • Excellent Interpersonal skills • Excellent written and oral communication skills • Problem solving and decision-making skills