Overview
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 delivering 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. Role: Field Reimbursement Specialist (FRS)
FRSs are responsible for providing field support for patient access to client-specified products through interaction with the client\'s patient support program and provider customers. They offer expertise to resolve complex patient access and provider reimbursement issues and provide educational services across healthcare provider sites of care. FRSs work directly with provider offices and their support staff and interact with other reimbursement and patient support services offered by clients. They educate and assist across the patient access process, including in-office administration and reimbursement workflows. FRSs plan and engage with customers, leveraging client-approved resources, to educate on access and reimbursement topics relevant to the client\'s product. They manage daily activities that support appropriate patient access in provider offices and serve as a liaison to other patient assistance and reimbursement services offered by clients. Travel within a designated territory is required, including weekly trips that may include overnight stays, to healthcare offices, using knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to help patients. As an FRS, a typical day might include:
Educate provider office staff and practice managers on logistics needed to support client product, including infrastructure for in-office administration (buy and bill) and monitoring of product, and important coverage and payer policy changes within assigned territories. Educate provider office staff on payers\' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes. Probe to understand office processes and identify 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 our client\'s products based on client approval. Perform other related duties as assigned. Skills and Abilities
Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners. Understands 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. Education and Experience
High School Diploma/GED required. Bachelor\'s degree or specific Practice Management experience preferred. Experience with extensive travel. Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials 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 offerings like medical, dental, and vision care, we provide a comprehensive suite of benefits that focus on physical, emotional, financial, and social wellness. This includes support for working families (which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave). We also offer training programs, professional development resources, mentorship opportunities, employee resource groups, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora Salary Full time Salary Range: $88,700 - $126,940 Notes on salary
This salary range reflects a national average. Actual ranges vary by locale; ranges for Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois locations may differ by up to +/- 10% of the stated range. Equal Employment Opportunity
Cencora is committed to 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. The company\'s continued success depends on the full and effective utilization of qualified individuals. Harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions, and transfers comply with equal opportunity principles and are non-discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process. If you wish to request an accommodation, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned. Affiliated Companies: Cencora Patient Services, LLC
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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 delivering 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. Role: Field Reimbursement Specialist (FRS)
FRSs are responsible for providing field support for patient access to client-specified products through interaction with the client\'s patient support program and provider customers. They offer expertise to resolve complex patient access and provider reimbursement issues and provide educational services across healthcare provider sites of care. FRSs work directly with provider offices and their support staff and interact with other reimbursement and patient support services offered by clients. They educate and assist across the patient access process, including in-office administration and reimbursement workflows. FRSs plan and engage with customers, leveraging client-approved resources, to educate on access and reimbursement topics relevant to the client\'s product. They manage daily activities that support appropriate patient access in provider offices and serve as a liaison to other patient assistance and reimbursement services offered by clients. Travel within a designated territory is required, including weekly trips that may include overnight stays, to healthcare offices, using knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to help patients. As an FRS, a typical day might include:
Educate provider office staff and practice managers on logistics needed to support client product, including infrastructure for in-office administration (buy and bill) and monitoring of product, and important coverage and payer policy changes within assigned territories. Educate provider office staff on payers\' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes. Probe to understand office processes and identify 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 our client\'s products based on client approval. Perform other related duties as assigned. Skills and Abilities
Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners. Understands 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. Education and Experience
High School Diploma/GED required. Bachelor\'s degree or specific Practice Management experience preferred. Experience with extensive travel. Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials 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 offerings like medical, dental, and vision care, we provide a comprehensive suite of benefits that focus on physical, emotional, financial, and social wellness. This includes support for working families (which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave). We also offer training programs, professional development resources, mentorship opportunities, employee resource groups, volunteer activities, and more. For details, visit https://www.virtualfairhub.com/cencora Salary Full time Salary Range: $88,700 - $126,940 Notes on salary
This salary range reflects a national average. Actual ranges vary by locale; ranges for Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois locations may differ by up to +/- 10% of the stated range. Equal Employment Opportunity
Cencora is committed to 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. The company\'s continued success depends on the full and effective utilization of qualified individuals. Harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions, and transfers comply with equal opportunity principles and are non-discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process. If you wish to request an accommodation, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned. Affiliated Companies: Cencora Patient Services, LLC
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