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Field Reimbursement Specialist

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Cencora

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Location:
United States

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Category:
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Contract Type:
Not provided

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Salary:

88700.00 - 126940.00 USD / Year
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Job Description:

Field Reimbursement Specialists (FRSs) are responsible for providing field support for patient access to client’s specified products through interaction with the client’s patient support program and provider customers. FRSs provide their expertise and advanced skills to resolve complex patient access and provider reimbursement issues and to provide educational services across a variety of healthcare provider sites of care. Play a vital role in helping patients gain access to life changing therapies! From oral medications to biosimilars to critical cancer treatments, our associates, with their passion for patients, represent these therapies providing education, coverage, and access solutions to healthcare personnel.

Job Responsibility:

  • Provide field support for patient access to client’s specified products through interaction with the client’s patient support program and provider customers
  • Provide expertise and advanced skills to resolve complex patient access and provider reimbursement issues
  • Provide educational services across a variety of healthcare provider sites of care
  • Work directly with the provider and their office support staff
  • Interact with other reimbursement and patient support services provided by clients
  • Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics
  • Manage daily activities that support appropriate patient access to our client’s products in the provider offices
  • Work as a liaison to other patient assistance and reimbursement support services offered by our clients
  • Travel weekly, which could include overnight, to healthcare offices within a designated territory
  • Educate provider office staff and practice managers on logistics needed to support client product
  • Educate provider office staff with understanding the payers’ coverage management strategies for product
  • Probe to understand office processes and ability to discern root causes of access or reimbursement issues
  • Deliver interactive educational presentations at various provider sites of service
  • Provide information on relevant reimbursement topics related to our client’s products based on client’s approval

Requirements:

  • High School Diploma/GED required
  • Bachelor's degree or specific Practice Management experience preferred
  • Project management skills
  • Experience with extensive travel
  • Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
  • Ability to conduct field-based reimbursement and access support, education, and consultation
  • Understands the dynamics of Specialty Pharmacy vs. Specialty Distribution
  • Broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care
  • Experience in revenue cycle, buy and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization, coding, and appeals processes
  • Deep understanding of medical and pharmacy benefits/policies
  • Live within a reasonable commuting distance of a major airport
What we offer:
  • Medical
  • dental
  • vision care
  • comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
  • support for working families
  • backup dependent care
  • adoption assistance
  • infertility coverage
  • family building support
  • behavioral health solutions
  • paid parental leave
  • paid caregiver leave
  • training programs
  • professional development resources
  • opportunities to participate in mentorship programs
  • employee resource groups
  • volunteer activities

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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