Field Reimbursement Manager

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 offices on the payer landscape and available services. Key Responsibilities Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) for office staff regarding reimbursement challenges and available support services. Educate providers on Benefit Investigation, Prior Authorization processes, Support Center services, Medicare and commercial coverage, and patient communication streams. Offer reimbursement support on case management, billing and coding updates, appropriate claims submission, specialty pharmacy, medical benefit interpretation, medical necessity, claims and appeal assistance, and co-pay assistance and patient assistance programs. Collaborate with case managers approximately four times per month and as needed for escalations. Responsible for setting up appointments and completing outbound calls to targeted offices. Assist in completing backlog casework and completing additional day-to-day in-office work. Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information. Monitor program performance for physicians and manufacturer representatives via daily CRM dashboards and quarterly trend reporting. Research and compile provider and manufacturer representative specific information for the reimbursement database. Qualifications 4-year degree in a related field or equivalent experience. 4+ years of healthcare-related reimbursement experience. Strong medical reimbursement experience with Buy & Bill and/or specialty pharmacy. Experience in the healthcare industry, including insurance verification, prior authorizations, and/or claim adjudication in physician offices or clinics. Must have Medicare and commercial insurance coverage experience. Ability to deliver and document benefit investigation outcomes and relay status reports regularly. Proven presentation skills and experience. Proven ability to handle multiple priorities and excellent organizational skills. Strong computer literacy, including PowerPoint and web meeting experience. Previous field experience – a plus. Previous specialty pharmacy experience – a plus. Account management experience – a plus. Excellent interpersonal, written, and oral communication skills. Problem solving and decision-making skills. Travel: Must reside in the territory and be able to travel 80% (four days a week) by automobile or plane. Must have a valid driver’s license and a clean driving record/MVR. Compensation & Benefits The pay range for this position is $84,300–$140,500. Equal Opportunity Employer McKesson is an Equal Opportunity Employer and provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability, age, genetic information, or any other legally protected category. #J-18808-Ljbffr