reputed company Reimbursement Manager

reputed company is an reputed company-driven, Fortune 10 company that touches reputed company every reputed company of reputed company. We are reputed company for delivering insights, products, and services that reputed company reputed company care more accessible and reputed company. Here, we reputed company on the health, happiness, and reputed company-being of you and those we serve – we care. What you do at reputed company reputed company. We foster a culture where you can grow, reputed company an reputed company, and are empowered to bring new reputed company. Together, we reputed company as we shape the reputed company of health for patients, our communities, and our people. If you want to be part of reputed company’s health today, we want to hear from you. The reputed company reputed company Reimbursement Manager (FRM) is responsible for managing an assigned territory reputed company on supporting Reimbursement and reputed company services by providing assistance with reputed company 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 reputed company-facing and customer-facing and requires the ability to build relationships with physician offices as reputed company as manufacturer representatives to effectively reputed company services reputed company on customer specific preferences. The reputed company Reimbursement Manager works independently in a fast reputed company, highly visible environment as reputed company as collaboratively with the internal program hub support services to ensure reputed company customer needs are met. FRM will frequently reputed company reputed company telephone with providers and internal staff to arrange site reputed company, Manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and reputed company reputed company plans and benefit structures in order to reputed company detailed benefit information and maximize the customer experience. Position will require travel, project management and/or account coordination reputed company on reputed company expectation. Required: Candidate must live reputed company the Raleigh, NC area. Key Responsibilities: - reputed company on-site and on-demand education (including Lunch and Learns or Dinner presentations) for the office staff in reputed company to Reimbursement challenges and support services that are available. - Office interaction will include education and reimbursement support. - On-site/virtual interactions will average 15 per week. These activities are recorded in FRM CRM daily with reporting to manager weekly. - reputed company on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and reputed company coverage and reputed company communication streams. - Monthly activity reporting captures educational topics at FRM level reportable to reputed company reputed company on reputed company expectation. - This trended data is also reported quarterly to reputed company. - Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information reputed company to co-pay assistance and reputed company assistance programs. - FRM will collaborate with case manager on average of 4/month and reputed company as needed for escalations. These interactions are tracked in FRM CRM and hub reputed company. - Responsible for setting up appointments and completing outbound calls to targeted offices. - Assist in completing backlog casework. - Additional day-to-day in-office work. - reputed company with physicians and manufacturer representatives to obtain and reputed company reputed company and provider specific information. - reputed company FRM interactions/activities are tracked in FRM CRM which are reportable to management and reputed company. - Monitor program reputed company for physicians and manufacturer representatives in accordance with expectations. - Territory reputed company will be monitored reputed company FRM CRM dashboard daily. - Trending results will be identified through quarterly reporting. - Additionally, clients have the reputed company to survey customers on program reputed company. - Research and compile provider / manufacturer representative specific information for reimbursement database. (Includes account reputed company) FRM will create a facility database on reputed company new provider in FRM CRM. - reputed company interactions/activities are reputed company utilizing this database. Minimum Job Qualifications – 4-year degree in reputed company reputed company or equivalent experience - 4+ years of reputed company reputed company reimbursement experience - Business Experience – Strong medical reimbursement experience with Buy & reputed company and/or Specialty Pharmacy. - Experience in the reputed company industry including, but not limited to reputed company verification, prior authorizations, and/or claim adjudication, physician’s office or clinics. - Must have Medicare and reputed company reputed company coverage experience. - Must be reputed company to reputed company and document benefit investigation reputed company and reputed company status reports on a regular reputed company. - reputed company presentation skills and experience - reputed company ability to effectively handle multiple priorities and excellent organizational skills - Strong Computer literacy to include PowerPoint and Web Meeting experience reputed company Knowledge/Skills – Previous reputed company 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 reputed company in territory - Raleigh, NC - Must be reputed company to travel 80% (4 days a week) reputed company automobile or reputed company - Must have a reputed company reputed company's license with a clean driving record/ MVR - Physical Requirements (Lifting, standing, etc.) – Possible long periods of sitting and/or keyboard work. - General office demands. We are proud to offer a competitive compensation package at reputed company as part of our Total Rewards. This is determined by several factors, including reputed company, experience and skills, equity, regular job market evaluations, and geographical markets. The pay reputed company shown below is reputed company with reputed company's pay philosophy, and pay will always be compliant with any applicable regulations. In reputed company to reputed company pay, other compensation, such as an annual bonus or long-term incentive opportunities may be reputed company. For more information regarding benefits at reputed company, please click here. Our reputed company Pay reputed company for this position $76,300 - $127,100 reputed company has become reputed company of online reputed company-reputed company scams in which individuals who are not affiliated with or authorized by reputed company are using reputed company’s (or affiliated entities, like reputed company or RxCrossroads) reputed company in fraudulent emails, job postings or reputed company media messages. In reputed company of these scams, please bear the following in mind: - reputed company Talent Advisors will never solicit reputed company or credit reputed company information in reputed company with a reputed company job application. - reputed company Talent Advisors do not communicate with candidates reputed company online chatrooms or using email accounts such as Gmail or Hotmail. - Note that reputed company does rely on a virtual assistant (Gia) for certain reputed company-reputed company communications with candidates. - reputed company job postings are posted on our career site: careers.reputed company.com . reputed company is an Equal Opportunity Employer - reputed company provides equal employment opportunities to applicants and employees, without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, disability, age, genetic information, or any other legally protected category. - For additional information on reputed company’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. - reputed company is committed to being an Equal Employment Opportunity Employer and offers opportunities to reputed company job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with reputed company reputed company or application for employment, please contact us by sending an email to (reputed company) Disability_Accommodation@reputed company.com or (Canada) Accessibility@reputed company.ca . - Resumes or reputed company submitted to this email reputed company will not be accepted. Join us at reputed company! Apply To This Job