Field Reimbursement Specialist
Cencora —Carolina, PR
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health insurance
Account Manager
W.W. Grainger —Cataño, PR
- $42,900 - $71,500 a year
- Hybrid work
- Spanish
- English
- Mid-level
- Paid parental leave
- Dental insurance
Grants Management Specialist II
IEM —Guaynabo Municipio, PR
- $74,000 - $90,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
8d
Senior Product Specialist
Medtronic —San Juan, PR
- Full-time
- Nursing
- Medicine
- English
Employment Specialist
Fora Pathways Inc —San Juan, PR
- $15 an hour
- Part-time
- Google Workspace
- Experience working with individuals with disabilities
- Data analysis skills
- Mileage reimbursement
- Flexible schedule
Quick Apply
Technology, Automation & AI Specialist
People Talent Acquisition —San Juan, PR
- Full-time
- English
- Mid-level
- SQL
- Paid holidays
- Disability insurance
Quick Apply
Sales Associate, Apartments.com - Fayetteville, NC
Domain Group —Carolina, PR
- Full-time
- Business development
- Driver's License
- Bachelor's degree
- Employee stock purchase plan
- Health insurance
3d
Life Insurance Specialist - South Carolina
AAA The Auto Club Group —Carolina, PR
- $25,000 a year
- Full-time
- Word processing
- Writing skills
- Pass drug screening
- Paid parental leave
- Paid holidays
Life Insurance Specialist - North Carolina
AAA The Auto Club Group —Carolina, PR
- $25,000 a year
- Full-time
- Word processing
- Writing skills
- Pass drug screening
- Paid parental leave
- Paid holidays
Staff Tax Specialist (Wake Forest, NC)
BA Global Talent —Carolina, PR
- $1,000 - $30,000 a year
- Hybrid work
- Google Workspace
- CPA
- Computer literacy
13d
Senior Tax Specialist - CPA Firm (Wake Forest, NC)
BA Global Talent —Carolina, PR
- $1,000 - $12,000 a month
- Hybrid work
- Google Workspace
- CPA
- Computer literacy
13d
Tax Manager - CPA Firm (Wake Forest, NC)
BA Global Talent —Carolina, PR
- $1,000 - $30,000 a year
- Hybrid work
- Google Workspace
- CPA
- Computer literacy
13d
Supervising Senior Tax Specialist - CPA Firm (Wake Forest, NC)
BA Global Talent —Carolina, PR
- $1,000 - $30,000 a year
- Hybrid work
- Google Workspace
- CPA
- English
13d
Revenue Cycle Management Specialist I
COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC —Carolina, PR
- $12.50 an hour
- Full-time
- Ability to walk for extended periods
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Revenue Cycle Management Specialist I- 6 Months Assignment
COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC —Carolina, PR
- $12.50 an hour
- Temporary
- Ability to walk for extended periods
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Enlisted Operations Careers - Military Service
U.S. Coast Guard —United States
- $32,650 - $72,540 a year
- Full-time
- No experience needed
- English
- High school diploma or GED
- Relocation assistance
- Health insurance
Quick Apply
Enlisted Aviation Careers - Military Service
U.S. Coast Guard —United States
- $32,650 - $72,540 a year
- Full-time
- No experience needed
- English
- High school diploma or GED
- Relocation assistance
- Health insurance
Quick Apply
Senior Steelmaking Process Specialist
RHI Magnesita —United States
- Master's degree
- Analysis skills
- Bachelor's degree
- Mileage reimbursement
- Disability insurance
Quick Apply
3d
Enlisted Enterprise Support Careers - Military Service
U.S. Coast Guard —United States
- $32,650 - $72,540 a year
- Full-time
- No experience needed
- English
- High school diploma or GED
- Relocation assistance
- Health insurance
Quick Apply
Site QC Specialist
Morson Talent (Canada & USA) —United States
- $90,000 - $115,000 a year
- Full-time
- Construction site
- Bachelor of Science
- Engineering
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for field reimbursement specialist in guaynabo, pr

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

field reimbursement specialist jobs near guaynabo, pr

Field Reimbursement Specialist

Cencora -
Carolina, PR

Apply Now

Job Details

Full-time

Benefits

Paid parental leave
Caregiver leave
Health insurance
Dental insurance
Flexible spending account
Adoption assistance
Parental leave
Vision insurance

Qualifications

Appeals
Overseeing health insurance pre-certification
High school diploma or GED
Case appeal in utilization management
Healthcare reimbursement methods
Insurance claims appeal handling

Full Job Description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Details

Please note:

Interested candidates must live within a reasonable commuting distance of a major airport in the listed location and be able to travel up to 80% within a territory that includes but may not be limited to Georgia, South Carolina, and Eastern North Carolina.

The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert on reimbursement, access, and coverage issues. The FRS play a critical role in ensuring patients can access specialty medications by educating healthcare providers and their staff on complex insurance and reimbursement processes and resolving access barriers.

In this role, FRSs act as liaisons between providers, manufacturers, pharmacies, and payers to navigate reimbursement challenges. They meet directly with healthcare providers and their office staff to provide education on the reimbursement and access considerations specific to a specialty medication. For this position, expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential, as the supported medication is typically covered under pharmacy benefits.

Key responsibilities include:

Educating providers and their office staff on access and reimbursement topics using client-approved resources.
Supporting appropriate patient access to the client’s products by resolving reimbursement and coverage challenges.
Collaborating with other patient assistance and reimbursement support services offered by the client.

This role requires weekly travel, including potential overnight stays, to healthcare offices within a designated territory. FRSs use their expertise in coverage, patient assistance, and health policy to educate office staff, address access challenges, and ultimately help patients receive the medications they need.

As an FRS, a typical day might include:

Educate provider office staff and practice managers on insurance issues relevant to the supported clients product, and inform the staff of important coverage and payer policy changes within assigned territories.
Educate provider office staff with understanding the payers’ coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes.
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.
Performs other related duties as assigned.

Skills and Abilities:

Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.
Understands the dynamics of specialty pharmacy.
Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes.
Deep understanding of pharmacy benefits/policies.
Strong time management and planning skills.
Proficient in Microsoft Word, Powerpoint, Excel, and Outlook.
Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to Georgia, South Carolina, and Eastern North Carolina.

Education and Experience:

High School Diploma/GED required.
Bachelor's degree or relevant practice management experience preferred.
Previous experience as Field Reimbursement Manager/Specialist preferred.
Previous experience working in healthcare directly resolving pharmacy benefit access issues.
Experience with extensive travel.
Candidates must be willing to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora

Full time

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [email protected]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Affiliated Companies

Affiliated Companies: Cencora Patient Services, LLC

Apply Now

Refine Your Search

field reimbursement specialist jobs in guaynabo, pr

Field Reimbursement Specialist

Account Manager

Grants Management Specialist II

Senior Product Specialist

Employment Specialist

Technology, Automation & AI Specialist

Sales Associate, Apartments.com - Fayetteville, NC

Life Insurance Specialist - South Carolina

Life Insurance Specialist - North Carolina

Staff Tax Specialist (Wake Forest, NC)

Senior Tax Specialist - CPA Firm (Wake Forest, NC)

Tax Manager - CPA Firm (Wake Forest, NC)

Supervising Senior Tax Specialist - CPA Firm (Wake Forest, NC)

Revenue Cycle Management Specialist I

Revenue Cycle Management Specialist I- 6 Months Assignment

Enlisted Operations Careers - Military Service

Enlisted Aviation Careers - Military Service

Senior Steelmaking Process Specialist

Enlisted Enterprise Support Careers - Military Service

Site QC Specialist

I want to receive the latest job alert for field reimbursement specialist in guaynabo, pr

Explore jobs in more locations

Job Details

What Cencora offers

Equal Employment Opportunity

Affiliated Companies

Job Seeker Tools

Employer Tools

Browse

Stay Connected