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Field Reimbursement Specialist - TN

Company: Xcenda, LLC
Location: Nashville
Posted on: November 26, 2022

Job Description:

Are you looking to make a difference in a patient's life? At AmerisourceBergen, you will find an innovative and collaborative culture that is patient focused and dedicated to making a difference. As an organization, we are united in our responsibility to create healthier futures. Join us and Apply today!

What you will be doing

As of August 24, 2021, AmerisourceBergen requires all U.S. team members to be fully vaccinated and show proof of completed vaccine prior to your first day of employment. If you cannot receive the COVID-19 vaccine due to a disability/medical reason or sincerely held religious belief you will be required to follow AmerisourceBergen's policy and process to apply for an exemption/accommodation.

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 providing education, coverage, and access solutions to healthcare personnel.

Field Reimbursement Specialists (FRSs) will plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client's product. The FRS will m anage daily activities that support appropriate patient access to our client's products in the provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients. Our teams travel weekly, Monday - Thursday, 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 ultimately 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 needed to support in-office administration including buy and bill and monitoring of p roduct, and important coverage and payer policy changes within assigned territories.
  • Educate provider office staff with understanding the payers' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes.
  • Probe to understand office processes and ability to 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 our client's products based on client's approval


    What your background should look like

    • Minimum of 5 yea r s of experience
    • 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.
      • E xperience in revenue cycle, buy and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization, coding, and appeals processes
      • Deep underst anding 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 Tennessee.
        Nice to have:
        • Bachelor's degree or specific Practice Management experience preferred.
        • Experience with providers who who specialize in Oncology
        • Project management skills
        • Experience with extensive travel
          #LI - Remote

          What AmerisourceBergen offers

          We offer competitive total rewards compensation. Our commitment to our associates includes benefit programs that are comprehensive, diverse and designed to meet the various needs across our associate population.

          Throughout our global footprint and various business units, we take a balanced approach to the benefits we offer. Many benefits are company-paid, while others are available through associate contributions. Specific benefit offerings may vary by location, position and/or business unit.

          Schedule

          Full time

          Affiliated Companies

          Affiliated Companies: Xcenda, LLC

          Equal Employment Opportunity

          AmerisourceBergen 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.

Keywords: Xcenda, LLC, Nashville , Field Reimbursement Specialist - TN, Other , Nashville, Tennessee

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