Specialist, Access and Reimbursement

Added
18 days ago
Type
Full time
Salary
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Related skills

billing reimbursement prior authorization appeals specialty pharmacy

📋 Description

  • Collaborate with Field Reimbursement Managers (FRMs) and Health Care Providers (HCPs) in designated
  • Educate FRMs and HCPs on patient support programs, including tools and services for access and
  • Provide local expertise on plans and efficiently educate on all aspects of prior authorization
  • Develop and sustain relationships with relevant providers within the territory.
  • Take ownership of process improvement initiatives, continuously seeking ways to enhance system
  • Maintain an understanding of current business procedures, deviations, and case processing for all

🎯 Requirements

  • Bachelor's degree or Associate Degree in health sciences or business preferred. Comparable or
  • 3-5 years of experience in the healthcare industry with knowledge in reimbursement, billing, prior
  • Demonstrated understanding of the rules, regulations and risks associated with provision of
  • Demonstrated deep technical understanding of coverage, coding, payment and distribution of
  • Strong understanding of access and reimbursement support service centers and how to effectively
  • Thorough understanding of the technical payer policy processes, systems and requirements for

🎁 Benefits

  • Paid time off (vacation, holidays, sick)
  • Medical/dental/vision insurance
  • 401(k)
  • Short-term incentive programs
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