Managing an assigned territory focused on supporting Reimbursement and Patient services.
Providing assistance with patient reimbursement challenges for a specific drug including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals.
Educating the office on Payer landscape and services available through both remote interaction and on-site training.
Building relationships with physician offices as well as manufacturer representatives.
Interacting via telephone with providers and internal staff to arrange site visits, Manufacturer trainings, and educational training venues.
Collaborating with the internal program hub support services to ensure all customer needs are met.
Monitoring program performance for physicians and manufacturer representatives in accordance with expectations.
Researching and compiling provider/manufacturer representative specific information for reimbursement database.
Requirements
4-year degree in related field or equivalent experience
4+ years of healthcare related reimbursement experience
Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
Experience supporting oncology products preferred
Experience in the healthcare industry including insurance verification, prior authorizations, and/or claim adjudication.
Must have Medicare and commercial insurance coverage experience.
Proven presentation skills and experience
Proven ability to effectively handle multiple priorities and excellent organizational skills
Strong Computer literacy to include PowerPoint and Web Meeting experience.