Cencora
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Location & Travel Interested candidates must live within a reasonable commuting distance of a major airport in the listed location and be able to travel up to 80% within a territory that includes but may not be limited to New York City, NY; Brooklyn, NY; Queens, NY; and Long Island, NY.
Field Reimbursement Specialist (FRS) Role Field Reimbursement Specialists provide field support for patient access to client‑specified products through interaction with the client’s patient support program and provider customers. They use their expertise to resolve complex patient access and provider reimbursement issues and provide educational services across a variety of healthcare provider sites of care.
FRSs work directly with the provider and their office support staff and frequently interact with other reimbursement and patient support services provided by clients.
Play a vital role in helping patients gain access to life‑changing therapies—from oral medications to biosimilars to critical cancer treatments. Our associates, with their passion for patients, represent these therapies by providing education, coverage, and access solutions to healthcare personnel.
FRSs will plan and engage with customers, leveraging client‑approved resources, to educate on access and reimbursement topics relevant to the assigned client’s product. The FRS will manage daily activities that support appropriate patient access to client products in provider offices and act as a liaison to other patient assistance and reimbursement support services offered by our clients.
Our teams travel weekly, which could include overnight stays, to healthcare offices within a designated territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to help patients.
Typical Day
Educate provider office staff and practice managers on logistics needed to support client products, including infrastructure needed for in‑office administration such as buy and bill, monitoring of product, and important coverage and payer policy changes within assigned territories.
Educate provider office staff on the payer’s coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes.
Probe to understand office processes and discern root causes of access or reimbursement issues.
Deliver interactive educational presentations at various provider sites of service.
Provide information on relevant reimbursement topics related to the client’s products, based on client approval.
Perform other related duties as assigned.
Skills and Abilities
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.
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.
Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to New York City, NY; Brooklyn, NY; Queens, NY; and Long Island, NY.
Education and Experience
High School Diploma/GED required.
Bachelor’s degree or specific Practice Management experience preferred.
Project management skills.
Experience with extensive travel.
Hold a Prior Authorization Certification Specialist (PACS) credential from an industry‑approved licensing body, or obtain certification within the first six months of employment.
What Cencora Offers We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional medical, dental, and vision care, we offer a comprehensive suite of benefits focusing on the physical, emotional, financial, and social aspects of wellness. These include support for working families—backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. We also provide training programs, professional development resources, mentorship programs, employee resource groups, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora.
Salary Range $88,700 - $126,940. This salary range reflects a national average for this job. Actual ranges may vary by locale, with certain states having up to 10% lower and 12% higher ranges than the national average.
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. Harassment is prohibited, and all employment matters comply with equal opportunity principles. We provide reasonable accommodations to individuals with disabilities during the employment process, consistent with legal requirements. For accommodation requests, call 888.692.2272 or email hrsc@cencora.com.
Affiliated Companies Cencora Patient Services, LLC
#J-18808-Ljbffr
Location & Travel Interested candidates must live within a reasonable commuting distance of a major airport in the listed location and be able to travel up to 80% within a territory that includes but may not be limited to New York City, NY; Brooklyn, NY; Queens, NY; and Long Island, NY.
Field Reimbursement Specialist (FRS) Role Field Reimbursement Specialists provide field support for patient access to client‑specified products through interaction with the client’s patient support program and provider customers. They use their expertise to resolve complex patient access and provider reimbursement issues and provide educational services across a variety of healthcare provider sites of care.
FRSs work directly with the provider and their office support staff and frequently interact with other reimbursement and patient support services provided by clients.
Play a vital role in helping patients gain access to life‑changing therapies—from oral medications to biosimilars to critical cancer treatments. Our associates, with their passion for patients, represent these therapies by providing education, coverage, and access solutions to healthcare personnel.
FRSs will plan and engage with customers, leveraging client‑approved resources, to educate on access and reimbursement topics relevant to the assigned client’s product. The FRS will manage daily activities that support appropriate patient access to client products in provider offices and act as a liaison to other patient assistance and reimbursement support services offered by our clients.
Our teams travel weekly, which could include overnight stays, to healthcare offices within a designated territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to help patients.
Typical Day
Educate provider office staff and practice managers on logistics needed to support client products, including infrastructure needed for in‑office administration such as buy and bill, monitoring of product, and important coverage and payer policy changes within assigned territories.
Educate provider office staff on the payer’s coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes.
Probe to understand office processes and discern root causes of access or reimbursement issues.
Deliver interactive educational presentations at various provider sites of service.
Provide information on relevant reimbursement topics related to the client’s products, based on client approval.
Perform other related duties as assigned.
Skills and Abilities
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.
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.
Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to New York City, NY; Brooklyn, NY; Queens, NY; and Long Island, NY.
Education and Experience
High School Diploma/GED required.
Bachelor’s degree or specific Practice Management experience preferred.
Project management skills.
Experience with extensive travel.
Hold a Prior Authorization Certification Specialist (PACS) credential from an industry‑approved licensing body, or obtain certification within the first six months of employment.
What Cencora Offers We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional medical, dental, and vision care, we offer a comprehensive suite of benefits focusing on the physical, emotional, financial, and social aspects of wellness. These include support for working families—backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. We also provide training programs, professional development resources, mentorship programs, employee resource groups, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora.
Salary Range $88,700 - $126,940. This salary range reflects a national average for this job. Actual ranges may vary by locale, with certain states having up to 10% lower and 12% higher ranges than the national average.
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. Harassment is prohibited, and all employment matters comply with equal opportunity principles. We provide reasonable accommodations to individuals with disabilities during the employment process, consistent with legal requirements. For accommodation requests, call 888.692.2272 or email hrsc@cencora.com.
Affiliated Companies Cencora Patient Services, LLC
#J-18808-Ljbffr