Top Healthcare company is hiring a Field Reimbursement Manager in the Kansas City, Missouri area!
This role requires travel to other locations and within the Greated Kansas City MO area.
Remote-field based - Location should be in or near Kansas City, MO
Travel Requirements:
? Must reside in territory.
? Must be able to travel 80% (4 days a week) via automobile or plane.
? Must have a valid driver's license with a clean driving record/ MVR.
Field Reimbursement Manager
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 manufacturer 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 experience
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
Work Schedule:
M-F 9-5 their time zone
Work location & Type:
Remote-field based - Location should be in or near Kansas City, MO
Travel Requirements:
Must reside in territory.
Must be able to travel 80% (4 days a week) via automobile or plane.
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.
Contract role to start
Job Types: Full-time, Contract
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.