RemX | The Workforce Experts · 3 hours ago
FRM, Cincinnati Field Reimbursement Manager
Cincinnati Metro
Full-time
Onsite
Entry, Mid Level
$113K/yr - $115K/yr
2+ years expRemX | The Workforce Experts is seeking a Field Reimbursement Manager to cover the Cincinnati territory. The role involves managing specialty drug prior authorizations, appeals, and denials while training provider office staff and ensuring medications are approved and paid for.
Information TechnologyStaffing Agency
Hiring Manager
Gloria D'Ambrisi
Responsibilities
Determine to work 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
2+ years experience in escalations, education, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement
Ability to keep 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, Access Reimbursement Manager, Biologic Coordinator, LPN, RN, CPhT with Specialty Pharmacy experience
Experience in the specialty drug prior auth process
Familiarity with the CoverMyMeds portal
Expertise in Specialty drug Prior Authorizations, 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, benefits investigations, Medicaid and Medicare Part D, working appeals and denials
2+ years experience in escalations, education, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement
Ability to keep up with changes and updates to drug programs, new FDA indications, miscellaneous J-codes, and payer policy changes that impact reimbursement
Preferred
Mental Health or Neurological drug experience
Degree is not required
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