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FRM, Field Access Manager New Orleans

New Orleans, LA, United States

Job Description Job Description FIELD REIMBURSEMENT MANAGER, Start 8/1/2024 Based out of New Orleans and covering the Gulf areas of La, MS, AL . (I am interviewing for other territories as well)

Travel territory position, visiting provider offices all around your territory 3 days per week.

A MUST : Expert level in Prior Authorizations for Specialty Drugs, Access and Reimbursement , Patient Access to drug therapies. Newly launched specialty drug (already launched). Experience in the field driving around managing a territory.

Key Responsibilities:

Provide on-demand education (in-person and virtual) for the doctor's office staff in regard to Reimbursement challenges and support services that are available for this Specialty Drug

Educate the provider's office team :

Benefit Investigation / Prior Authorization Process for the specialty drugs.

Use of CoverMyMeds (training the offices on how to use it)

Support Center Services (hub)

Medicare and Commercial coverage

Educate on the patient communication streams

Provide Reimbursement Support:

Drug Therapy Case management

Billing and coding updates

Appropriate claims submission

Specialty Pharmacy

Medical Benefit Interpretation

Understanding medical necessity

Claims / Appeal assistance

Information related to co-pay assistance programs

Information related to patient assistance programs

Responsible for managing your territory: making outbound calls to set up appointments to targeted offices.

In person and in virtual meetings and calls: Interface with physician's Office Staff and MA's and Drug Manufacturer Reps to obtain and provide patient and provider specific information.

Assist in completing backlog casework.

Monitor program performance for physicians and manufacturer representatives in accordance with expectations.

Research and compile provider / manufacturer representative specific information for reimbursement database.

Travel Days are Tues, Wed, Thurs (by car or flight). Arrange your own appointments within your territory. Emphasis is on live in-person office visitations. Usually Tu - Thr with Mondays and Fridays your at home office days

Minimum Requirements

We are a good home for an FRM looking for stability

I'm looking for candidates with field/territory experience because that is the whole point of a Field Reimbursement Manager.

BA degree or RELATED EXPERIENCE (We value the experience )

4-5 years specialty drug related reimbursement experience, reimbursement advocacy

Medical reimbursement experience Specialty Pharmacy.

Biologics coordinator, medication coordinator, Insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics.

Medicare and commercial insurance coverage experience.

Deliver and document benefit investigation outcomes and relay status reports on a regular basis.

Ability to effectively handle multiple priorities within a changing environment.

Strong Computer literacy, including MS Teams, PowerPoint, Web Meeting experience

Interviewing immediately for an 8/5 start date.

Company Description The professional staffing division of EmployBridge, America's Leading Workforce Specialist:

When our Talent is looking for their next opportunity, we know they are not just looking for their next paycheck. Our Recruiters are experts in their specialized fields and understand that making the right match between the candidate and the company, is the key to long term success.

We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. Company Description The professional staffing division of EmployBridge, America's Leading Workforce Specialist:\r\rWhen our Talent is looking for their next opportunity, we know they are not just looking for their next paycheck. Our Recruiters are experts in their specialized fields and understand that making the right match between the candidate and the company, is the key to long term success.\r\rWe are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

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