Adecco is currently assisting one of its clients in their search for a Field Reimbursement Manager in Houston, TX!
Pay rate: $51.92 – 60.10
Shift availability: Monday – Friday 9am – 5PM
Location: Houston, TX This job is remote but field based (travelling in the field 3 days a week) . Candidate should live in Houston; they will cover most likely over a large part of southern county.
For instant consideration for this role, click on Apply Now and don’t forget to upload your resume!
Responsibilities
The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training.
This position is client facing and customer-facing and requires the ability to build relationships with physician offices as well as manufacture representatives to effectively deliver services based on customer specific preferences.
The Field Reimbursement Manager works independently in a fast paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met.
FRM will frequently interact via telephone with providers and internal staff to arrange site visits, Manufacturer trainings, and educational training venues.
Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience.
Position will require travel, project management and/or account coordination based on client expectation.
Minimum Job Qualifications Education/Training:
• 4-year degree in related field or equivalent Business Experience:
• Entry-level experience in project management
• Minimum of 8 years healthcare related reimbursement experience
• Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
• Experience supporting program specific drug therapy space, i.e., oncology, dermatology, etc.
• Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics.
• Must have Medicare and commercial insurance coverage experience.
• Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis.
• Strong customer service experience
• Proven presentation skills and experience
• Ability to effectively handle multiple priorities within a changing environment.
• Excellent organizational skills
• Strong Computer literacy to include PowerPoint and Web Meeting experience. Specialized
Knowledge/Skills:
• Previous field experience, a plus
• Previous experience with specialty pharmacy a plus
• Account management experience, a plus
• Excellent Interpersonal skills.
• Excellent written and oral communication skills.
• Problem solving and decision-making skills.
Working Conditions:
• General Office Demands – Remote, WFH Travel Requirements:
• Must reside in territory.
• Must be able to travel 80% (4 days a week) via automobile or plane. Confidentiality Notice: This document, including any attachments, is for the sole use of its intended recipients and may contain confidential, Work Instructions
• Must have a valid driver's license with a clean driving record/ MVR. Physical Requirements:
• Possible long periods of sitting and/or keyboard work. General office demands.
As a reminder, this role is being recruited for by one of our National Recruitment Teams and not your local Branch. In order to be considered, please follow the steps included upon your application. If you are interested in the role, APPLY NOW for instant consideration!
Pay Details: $51.92 to $60.10 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
- The California Fair Chance Act
- Los Angeles City Fair Chance Ordinance
- Los Angeles County Fair Chance Ordinance for Employers
- San Francisco Fair Chance Ordinance