RemX | The Workforce Experts ยท 1 day ago
FRM, Omaha Field Reimbursement Manager
Omaha, NE
Full-time
Onsite
Entry, Mid Level
$113K/yr - $115K/yr
2+ years expRemX | The Workforce Experts is seeking a Field Reimbursement Manager to work in the Greater Omaha area, with responsibilities extending to Wichita, KS and parts of Western KS. The role involves visiting provider offices, managing specialty drug prior authorizations, appeals, and educating provider office staff.
Information TechnologyStaffing Agency
Hiring Manager
Gloria D'Ambrisi
Responsibilities
Field Reimbursement Manager, Biologic Coordinator, LPN, RN, CPhT with Specialty Pharmacy exp looking for expand their career
Visiting providers offices 4 days per week
Working through all roadblocks and barriers to get the medications approved and paid for
Expertise in Specialty Drug Prior authorizations through portals, benefits investigations, Medicaid and Medicare Part D, working appeals and denials
Escalations, education, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement
Keeping up with changes and updates to drug programs, new FDA indications, miscellaneous J-codes, and payer policy changes that impact reimbursement
Qualification
Required
Field Reimbursement Manager, Biologic Coordinator, LPN, RN, CPhT with Specialty Pharmacy experience
Experience in the specialty drug prior auth process
Experience working appeals
Familiarity with the CoverMyMeds portal
Expertise in Specialty drug Prior Authorizations
Expertise in Appeals and working denials
Territory management experience
Experience training and educating provider office staff
Determination to work through all roadblocks and barriers to get the medications approved and paid for
Expertise in Specialty Drug Prior authorizations through portals
Expertise in benefits investigations
Expertise in Medicaid and Medicare Part D
Experience in escalations
Experience in education
Experience in Patient Assistance program approvals
Experience in foundation coverage
Experience in guidelines and reimbursement
Ability to keep up with changes and updates to drug programs
Ability to keep up with new FDA indications
Ability to keep up with miscellaneous J-codes
Ability to keep up with payer policy changes that impact reimbursement
2+ years experience
Company
RemX | The Workforce Experts
RemX is the professional staffing division of EmployBridge, a $3 billion staffing organization with more than 600 offices in the U.S. and Canada.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase