field reimbursement manager.

Randstad is seeking an experienced Field Reimbursement Manager for a large medical supply company in Columbus, Ohio.  The position is fully remote but does require approximately 80% travel. In this role, you will be responsible for managing an assigned territory focused on supporting reimbursement and patient access by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. The job requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences.   

salary: $79,500 - $132,500 per year
shift: First
work hours: 8 AM - 5 PM
education: Bachelors



Responsibilities

• Responsible for setting up appointments and completing outbound calls to provider offices. 
• Interface with physicians to obtain and provide patient and payer specific information.  
• Monitor program performance for physicians and manufacturer representatives in accordance with expectations. 
• Research and compile provider / manufacturer representative specific information for reimbursement database. 
• Provide on-site and on-demand education for the office staff in regard to reimbursement challenges and support services that are available. 
• Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams.  
• Reimbursement support, account management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs.  
   

Skills

• Field Reimbursement (8 years of experience is required)
• Project Management
• Medical Product Knowledge
• Insurance Verification
• Prior Authorization
• Claim Adjudication
• Medicare
• Customer Service
• Problem Solving
• Computer Skills
• Microsoft Office

Qualifications

• Years of experience: 8 years
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.



Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.