Clinical Reimbursement Specialist

3 days ago


Kansas City, Missouri, United States RemX | The Workforce Experts Full time
Job Description
We are seeking an experienced Field Reimbursement Manager to join our team at RemX | The Workforce Experts. As a key member of our team, you will be responsible for managing a territory in Kansas City, MO, and ensuring patients receive the medications they need. Your expertise in retail pharmacy and specialty drug prior authorizations is essential.

The ideal candidate will have a strong background in FRM territory management, with experience working independently without access to PHI. You will be responsible for training and educating provider office staff, as well as managing escalations, education, Commercial co-pay card approvals, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement.

Key Responsibilities
- Manage a territory in Kansas City, MO
- Provide training and education to provider office staff
- Ensure patients receive necessary medications
- Manage escalations, education, Commercial co-pay card approvals, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement

Requirements
- BA degree highly preferred
- Experience in FRM territory management
- Knowledge of local payor landscape: Medicare & Medicaid
- Ability to work independently without access to PHI

Estimated Salary Range
$80,000 - $110,000 per year, depending on experience

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