Field Reimbursement Specialist - Remote - Cencora - Patient Access and Reimbursement Solutions

Remote Full-time
Join the Cencora Team as a Field Reimbursement Specialist and Make a Difference in Patient Care At Cencora, we're dedicated to creating healthier futures by improving access to life-changing therapies. As a Field Reimbursement Specialist, you'll play a vital role in helping patients gain access to innovative treatments and medications. We're seeking a highly skilled and motivated professional to join our team remotely and make a meaningful impact in the lives of patients and healthcare professionals. About Cencora and Our Mission Cencora is a leading company in the healthcare industry, united in our responsibility to create healthier futures. We're committed to delivering innovative solutions that improve patient care and outcomes. Our team members are at the heart of everything we do, and we're looking for talented individuals like you to join our mission-driven organization. Job Summary As a Field Reimbursement Specialist, you'll work closely with healthcare professionals, leveraging client-approved resources to educate them on access and reimbursement topics related to our clients' products. You'll travel extensively within a designated territory, using your expertise to break through access issues and ensure patients receive the treatments they need. Key Responsibilities Educate provider office staff and practice managers on logistics needed to support client products, including infrastructure needed to support in-office administration and important coverage and payer policy changes within assigned territories. Educate provider office staff on payers' coverage management strategies for products, including coding, billing, formulary, prior authorization, and appeal processes. Analyze office processes to understand root causes of access or reimbursement issues and develop solutions to address them. Deliver interactive educational presentations at various provider sites of service. Provide information on relevant reimbursement topics related to clients' products based on client approval. Perform other duties as assigned. Requirements and Qualifications Essential Qualifications High school diploma or GED required. Bachelor's degree or specific practice management experience preferred. Experience in revenue cycle, buy and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization, coding, and appeals processes. Deep understanding of medical and pharmacy benefits/policies. Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners. Understand the dynamics of Specialty Pharmacy vs. Specialty Distribution. Broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care. Preferred Qualifications Project management skills. Experience with extensive travel. Skills and Competencies To succeed as a Field Reimbursement Specialist, you'll need: Excellent communication and presentation skills. Strong analytical and problem-solving skills. Ability to work independently and as part of a team. Strong organizational and time management skills. Proficiency in Microsoft Office and ability to learn new software applications. Career Growth Opportunities and Learning Benefits At Cencora, we're committed to supporting the growth and development of our team members. We offer: Comprehensive training programs and professional development resources. Mentorship programs and employee resource groups. Volunteer activities and opportunities to participate in community outreach programs. Competitive salary and benefits package, including medical, dental, and vision care. Support for working families, including backup dependent care, adoption assistance, infertility coverage, and paid parental leave. Work Environment and Company Culture At Cencora, we're dedicated to creating a highly inclusive culture that supports our team members' ability to live with purpose every day. We offer: Remote work opportunities. Flexible work arrangements and work-life balance. A dynamic and supportive work environment. Compensation and Benefits We offer a competitive salary range of $86,500 - $123,860, depending on location and experience. Our comprehensive benefits package includes: Medical, dental, and vision care. Retirement savings plan. Paid time off and holidays. Support for working families. Equal Employment Opportunity Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status, or membership in any other class protected by federal, state, or local law. How to Apply If you're a motivated and experienced professional looking to make a difference in patient care, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to: We look forward to hearing from talented candidates like you! Apply for this job
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