Field Reimbursement Manager althcare Reimbursement ecialty Providers
Xcenda, a business unit of AmerisourceBergen Corporation, is currently seeking a Field Reimbursement Manager to partner with clients and provide field support for patient access to physician administered drugs.
Demonstrated experience with Specialty Pharmacy is preferred to be considered for this role.
Territory:
To be considered, applicants must reside within 45 minutes of a major airport in the San Francisco metropolitan area and be able to travel 3-4 nights per week each week. Relocation assistance is not available for this role.
Position Overview: The Reimbursement Manager will work directly to support the needs of the manufacturerales force and their customers in coordination with their client liaison will serve as an expert in payer policies and provide support to facilitate appropriate patient access and utilization of services to ensure their access to care.
Responsibilities: Activities include, but are not limited to:
- Interacting with key stake holders within the physician practice or hospital outpatient location
- Facilitating live training and education (group sizes vary)
- Reviewing patient insurance benefit options
- Validating prior authorization requirements
- Identifying alternate funding/financial assistance programs
- Reviewing appropriate billing and coding for products
- Assisting with resolving reimbursement issues
- Coordinating with our clientatient support services programs representatives.
- Educating physician office staff on the use of our clientatient assistance and reimbursement support line services including web based provider programs
- Providing information on relevant reimbursement topics related to our clientroducts.
About Xcenda
Xcenda, a business unit of AmerisourceBergen, is an integrated, world-class consulting organization focused on value, reimbursement and patient access. Our company brings together a team of exceptional healthcare and business professionals whose multidisciplinary experience fulfills an unmet need in the marketplace. We provide customized solutions and innovative approaches that discover and communicate the value of pharmaceuticals and other healthcare technologies.
Why Xcenda
Xcenda currently provides health care reimbursement teams for several pharmaceutical and biopharmaceutical clients. These teams are responsible for providing field support for patient access to our clientroducts through interaction with the clienteimbursement support program. These reimbursement specialists provide their expertise and experience to help resolve patient access issues and to provide educational services within a physician office environment. Reimbursement specialists work directly with prescribers and their office support staff and commonly interact with other reimbursement and patient support services provided by our clients.
Qualifications Requirements - Requires training generally obtained through completion of a 4 year Bacheloregree program,or equivalent combination of experience and education. Advanced degree or specific Practice Management experience preferred.
- Minimum of 5 yearsperience in public or private third party reimbursement arena or practice management including the revenue cycle; or pharmaceutical industry in managed care or reimbursement.
- Must have experience with specialty providers (oncology, rheumatology, urology, gastroenterology) on the reimbursement, provider and operations side
- Specific knowledge of specialty pharmacy and provider interactions required
- Technical knowledge of health care reimbursement from a patient and provider perspective (miscellaneous J codes, billing coding, appeals process)
- Knowledge of private payer Medicare and Medicaid structure systems and reimbursement process
- Ability to travel overnight for 3-4 nights per week; 75% travel
- Strong communication skills; ability to effectively interact with physicians and their staff
- Ability to analyze and interpret regulation and legislation
- Demonstrated teamwork abilities
- Project management skills
- Ability to work independently
- Ability to manage expenses within allocated budgets (Company Credit Card for approved travel expenses and related charges)
- Good driving record; Ability to drive during the daytime and nighttime
- Live within 45 minute drive of major airport (No relocation assistance is available)
- Ability to utilize own car for travel (mileage reimbursed)
- Ability to schedule individual work related travel (air hotel rental car as needed)
- Above average computer skills: PowerPoint Excel Word
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