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Field Reimbursement Manager
2 months ago
URGENT *MID NOVEMBER START DATE*
Field Reimbursement Manager. FRM Pittsburgh/Buffalo
Expert in Retail Pharmacy and Specialty pharmacy drug Prior Authorizations, Appeals, and working denials, with experience of FRM territory management experience, training and educating provider office staff.
FIELD / TRAVEL position covering a territory: Pittsburgh/Buffalo
The best FRM candidates will :
- Bring FRM territory experience (including experience working without access to PHI)
- Truly care about the patients and work through all roadblocks and barriers to get the medications approved and paid for.
- Have expertise in : RETAIL Pharmacy, as well as, Specialty Drug Prior authorizations through portals, benefits investigations , working appeals and denials
- Have LOCAL PAYOR LANDSCAPE KNOWLEDGE: Medicare & Medicaid
- Know some work arounds when PHI is not accessible
- Have experience in: escalations, education, Commercial co-pay card approvals , Patient Assistance program approvals , foundation coverage, guidelines, and reimbursement. Keeping up with changes and updates to drug programs, new FDA indications, miscellaneous J-codes, and payer policy changes that impact reimbursement.
MID NOVEMBER START DATE
