Field Reimbursement Specialist

3 days ago


Nashville, Tennessee, United States RemX | The Workforce Experts Full time
Field Reimbursement Manager

We are seeking a highly skilled Field Reimbursement Manager to join our team at RemX | The Workforce Experts. As a Field Reimbursement Manager, you will be responsible for managing a territory of several states, covering Tennessee-Nashville, Memphis, Chattanooga, and part of Knoxville.

Key Responsibilities:
  • Expertise in Retail Pharmacy and Specialty Pharmacy drug Prior Authorizations, Appeals, and working denials
  • Experience in FRM territory management, training, and educating provider office staff
  • Ability to work independently with minimal supervision and prioritize tasks effectively
  • Strong communication and interpersonal skills to build relationships with healthcare providers and payers
  • Knowledge of local payor landscape, including Medicare and Medicaid
  • Ability to work with PHI restrictions and find alternative solutions
  • Experience in escalations, education, Commercial co-pay card approvals, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement
  • Medical oncology or urology experience preferred
Requirements:
  • FRM territory experience, including experience working without access to PHI
  • Ability to travel 80% of the time
  • Strong analytical and problem-solving skills to resolve reimbursement issues
  • Excellent communication and interpersonal skills to build relationships with healthcare providers and payers

We offer a dynamic and challenging work environment, with opportunities for professional growth and development. If you are a motivated and experienced Field Reimbursement Manager, we encourage you to apply.



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