Clinical Reimbursement Specialist

4 weeks ago


Pittsburgh, Pennsylvania, United States RemX | The Workforce Experts Full time
Key Responsibilities:

As a Field Reimbursement Specialist, you will be responsible for managing a territory, providing training, and educating provider office staff on Retail and Specialty pharmacy processes. This includes Prior Authorizations, Appeals, and denials. You will also be responsible for seeking a dedicated individual with expertise in these areas.

Requirements:

The ideal candidate will have a strong background in FRM territory management, be passionate about patient care, and be knowledgeable about the local payor landscape, including Medicare & Medicaid. They will also be resourceful in finding solutions when PHI is not accessible and possess experience in escalations, education, co-pay card and patient assistance program approvals, as well as staying updated on industry changes and policy updates. Preference given to candidates with a BA degree.

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