Field Reimbursement Specialist
Cencora —Oregon
- $93,500 - $187,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health insurance
8d
PAS Specialist
Oregon Health & Science University —Portland, OR
- $24.58 - $33.26 an hour
- Full-time
- HIPAA
- High school diploma or GED
- Clinic
6d
Referral Specialist - Sleep Clinic
Salem Health Hospitals & Clinics —Salem, OR
- Full-time
- Medical office experience
- Mid-level
- Clinic
- Health insurance
- Tuition reimbursement
Referral Coordinator
ADAPT, INC. —Bandon, OR
- $39,000 - $54,000 a year
- Full-time
- HIPAA
- Medical terminology
- Entry level
- Health savings account
- Relocation assistance
Quick Apply
Radiology Scheduling Specialist
Curry Health Network —Brookings, OR
- $22.46 - $33.97 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Clinic experience
Quick Apply
Forensic Services Program Support (Administrative Specialist 1)
Oregon Health Authority —Salem, OR
- $3,798 - $5,193 a month
- 8 hour shift
- Hybrid work
- Customer service
- Data analysis skills
- Mid-level
- Paid holidays
- Disability insurance
5d
Referral Specialist - Outpatient Imaging - Full-time
Sky Lakes Medical Center —Klamath Falls, OR
- Full-time
- Microsoft Outlook
- Computer literacy
- Mid-level
Quick Apply
5d
Administrative Specialist (Administrative Specialist 1)
Oregon Business Development Department —Salem, OR
- $3,796 - $5,189 a month
- Full-time
- Hybrid work
- Data analysis skills
- Mid-level
- Office
- Paid holidays
- Work from home
6d
PAS Resource Specialist
Oregon Health & Science University —Portland, OR
- $26.90 - $36.35 an hour
- Full-time
- Hybrid work
- Word processing
- Computer literacy
- Medical office experience
6d
Utilization Review Specialist - HIM / RHIT
St. Charles Health System —Bend, OR
- $27.74 - $41.61 an hour
- 8 hour shift
- Microsoft Word
- Microsoft Excel
- Hospital
Patient Services Specialist for Pulmonary in SW Beaverton and NE Portland
The Oregon Clinic PC —Beaverton, OR
- $19.59 - $32.07 an hour
- Full-time
- Mid-level
- Clinic
- Critical & Intensive Care
- Wellness program
- Commuter assistance
Quick Apply
14d
Remote Client Operations Manager
Verisma —Oregon
- $70,000 - $75,000 a year
- Full-time
- HIPAA
- Mid-level
- Driver's License
6h
Surgery Scheduler
St. Charles Health System —Bend, OR
- $22.30 - $30.11 an hour
- Full-time
- Hybrid work
- Anatomy knowledge
- Surgery
- HIPAA
Prior Authorizations and Referral Management Representative
St. Charles Health System —Bend, OR
- $21.86 - $29.52 an hour
- Part-time
- Medical office experience
- Basic math
- Mid-level
14d
Clinic Med Office Specialist
Samaritan Health Services —Lebanon, OR
- $17.87 - $26.24 an hour
- Word processing
- Computer literacy
- Internal Medicine
1d
Insurance Verification Specialist
St. Charles Health System —Bend, OR
- $22.30 - $30.11 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Hospital
- Health insurance
- Dental insurance
Referral Specialist- Diabetes Education
Salem Health Hospitals & Clinics —Salem, OR
- Full-time
- Microsoft Outlook
- Hospital
- Customer service
- Health insurance
- Tuition reimbursement
6d
Customer Care Specialist
Rick's Medical Supply —Roseburg, OR
- Full-time
- In person
- Background check
- Microsoft Outlook
- Computer literacy
Quick Apply
PAS Coordinator, Cardiology
Oregon Health & Science University —Portland, OR
- $29.38 - $39.72 an hour
- 8 hour shift
- Medical office experience
- Mid-level
- Office
Patient Service Representative
St. Charles Health System —Redmond, OR
- $21.30 - $27.69 an hour
- Part-time
- Hybrid work
- Basic math
- English
- Microsoft Office

I want to receive the latest job alert for prior authorization specialist in oregon

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

prior authorization specialist jobs near oregon

Administrative Specialist jobs in Salem, OR

Referral Specialist jobs in Salem, OR

Utilization Review Nurse jobs in Bend, OR

Patient Services Coordinator jobs in Beaverton, OR

Reimbursement Specialist jobs in Oregon

Human Resources Specialist jobs in Portland, OR

Surgery Scheduler jobs in Bend, OR

Administrative Specialist jobs in Luke Afb, AZ

Administrative Assistant No Experience jobs in Houston, TX

Administrative Specialist jobs in Skokie, IL

Administrative Specialist jobs in Kissimmee, FL

Remote Administrative Assistant jobs in San Francisco, CA

Administrative Specialist jobs in New York, NY

Remote Administrative jobs in Mckinney, TX

Inventory Specialist jobs in San Diego, CA

Referral Specialist jobs in Macon, GA

Referral Specialist jobs in Columbus, OH

Referral Specialist jobs in Gainesville, GA

Referral Specialist jobs in Houston, TX

Safety Compliance Specialist jobs in Houston, TX

Field Reimbursement Specialist

Cencora -
Oregon

Apply Now

Job Details

Full-time
$93,500 - $187,000 a year
8 days ago

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 Washington, Oregon, Northern California, and Northern Nevada.

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.

#LI-MP1

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 Washington, Oregon, Northern California, and Northern Nevada.

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

Salary Range*

$93,500 - 187,000

This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

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

prior authorization specialist jobs in oregon

Field Reimbursement Specialist

PAS Specialist

Referral Specialist - Sleep Clinic

Referral Coordinator

Radiology Scheduling Specialist

Forensic Services Program Support (Administrative Specialist 1)

Referral Specialist - Outpatient Imaging - Full-time

Administrative Specialist (Administrative Specialist 1)

PAS Resource Specialist

Utilization Review Specialist - HIM / RHIT

Patient Services Specialist for Pulmonary in SW Beaverton and NE Portland

Remote Client Operations Manager

Surgery Scheduler

Prior Authorizations and Referral Management Representative

Clinic Med Office Specialist

Insurance Verification Specialist

Referral Specialist- Diabetes Education

Customer Care Specialist

PAS Coordinator, Cardiology

Patient Service Representative

I want to receive the latest job alert for prior authorization specialist in oregon

Explore jobs in more locations

Job Details

What Cencora offers

Salary Range*

Equal Employment Opportunity

Affiliated Companies:

Job Seeker Tools

Employer Tools

Browse

Stay Connected