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Federal Way

    FRM Field Reimbursement Manager - Federal Way, United States - RemX

    RemX
    RemX Federal Way, United States

    2 weeks ago

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    Description
    FIELD REIMBURSEMENT MANAGER (Specialty drugs and or Buy & Bill Drugs) SEATTLE WA and surrounding .

    START mid early MAY 2024 $110K

    Travel territory position, visiting provider offices all around your territory

    A MUST : Expert level in Prior Authorizations for Specialty Drugs, Access and Reimbursement , Patient Access to drug therapies. Newly launched specialty drug (already launched). Some kind of field experience.

    Live in Greater Seattle area based out of your home , travel to provider offices around your territory

    Key Responsibilities:

    Provide on-demand education (in-person and virtual) for the doctor's office staff in regard to Reimbursement challenges and support services that are available for these Specialty Drugs and Buy & Bill drugs.

    Educate the provider's office team:
    • Benefit Investigation / Prior Authorization Process for the specialty drugs.
    • Support Center Services (hub)
    • Medicare and Commercial coverage
    • Educate on the patient communication streams
    Provide Reimbursement Support:
    • Drug Therapy Case management
    • Billing and coding updates
    • Appropriate claims submission
    • Specialty Pharmacy
    • Medical Benefit Interpretation
    • Understanding medical necessity
    • Claims / Appeal assistance
    • Information related to co-pay assistance programs
    • Information related to patient assistance programs
    Responsible for managing your territory: making outbound calls to set up appointments to targeted offices.
    • In person and in virtual meetings and calls: Interface with physician's Office Staff and MA's and Drug Manufacturer Reps to obtain and provide patient and provider specific information.
    • Assist in completing backlog casework.
    • Monitor program performance for physicians and manufacturer representatives in accordance with expectations.
    • Research and compile provider / manufacturer representative specific information for reimbursement database.
    • Travel Days are Tues, Wed, Thurs (by car or flight). Arrange your own appointments within your territory. Emphasis is on live in-person office visitations. Usually Tu - Thur with Mondays and Fridays your at home office days
    Minimum Requirements
    • This is a good role for an FRM looking for stability
    • This is a good role for someone focused on Patient Access for drug therapies , someone who has worked their way up in PBM hub services, Specialty Pharmacy PA Coordinator or manager, RN's. Great next step to build on your career.
    • I'm looking for candidates with some kind of field/territory experience because that is the whole point of a Field Reimbursement Manager.
    • BA degree or RELATED EXPERIENCE (WE LIKE THE EXPERIENCE)
    • 2+ years specialty drug related reimbursement experience, reimbursement advocacy
    • Medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
    • Insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics.
    • Medicare and commercial insurance coverage experience.
    • Deliver and document benefit investigation outcomes and relay status reports on a regular basis.
    • Ability to effectively handle multiple priorities within a changing environment.
    • Strong Computer literacy, including MS Teams, PowerPoint, Web Meeting experience
    Interviewing immediately for early May 2024 start . Email me directly at
  • RemX

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    FIELD REIMBURSEMENT MANAGER (Specialty drugs and or Buy & Bill Drugs) SEATTLE WA and surrounding . · START mid early MAY 2024 $110K · Travel territory position, visiting provider offices all around your territory · A MUST : Expert level in Prior Authorizations for Specialty Dr ...

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