RN Care Manager – Pediatrics
Centene Corporation
Field Reimbursement Manager
McKesson
full-time
Posted on:
Location Type: Remote
Location: Remote • Louisiana, Mississippi • 🇺🇸 United States
Visit company websiteSalary
💰 $72,200 - $120,400 per year
Job Level
Mid-LevelSenior
About the role
- Provide on-site and on-demand education for the office staff in regard to Reimbursement challenges
- Office interaction will include education and reimbursement support
- Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage
- Monitor program performance for physicians and manufacturer representatives in accordance with expectations
- Research and compile provider/manufacturer representative specific information for reimbursement database
Requirements
- 4-year degree in related field or equivalent experience
- 4+ years of healthcare related reimbursement experience
- Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy
- Experience supporting oncology products preferred
- 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
- Proven presentation skills and experience
- Proven ability to effectively handle multiple priorities and excellent organizational skills
- Strong Computer literacy to include PowerPoint and Web Meeting experience
Benefits
- Competitive compensation package
- Annual bonus or long-term incentive opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical reimbursementBuy & BillSpecialty Pharmacyinsurance verificationprior authorizationsclaim adjudicationreimbursement databaseprogram performance monitoringbenefit investigationprior authorization process
Soft skills
presentation skillsorganizational skillsability to handle multiple priorities
