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Field Reimbursement Manager (Tennessee & Kentucky Territory)

RemX Specialty Staffing CCS Knoxville, TN
  • Posted: over a month ago
  • $85,000 to $100,000 Annually
  • Full-Time
  • Benefits: Vision, Medical, Life Insurance, 401k, Dental

Key Responsibilities:

Provide on-site and on-demand education for the office staff in regard to Reimbursement challenges and support services that are available. Office interaction will include:

Educate:

  • Benefit Investigation / Prior Authorization Process
  • Support Center Services
  • Medicare and Commercial coverage
  • Educate on the patient communication streams

Reimbursement Support:

  • 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 setting up appointments and completing out bound calls to targeted offices. Assist in completing backlog casework. Additional day-to-day in-office work. Interface with physicians and manufacturer representatives to obtain and provide patient and provider 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.

Utilize internal resources to proactively address areas of opportunity related to the overall customer experience.

Utilize performance tracking tools & survey

RemX Specialty Staffing CCS

Why Work Here?

Great benefits, weekly pay, weekends off, and growth opportunities!

RemX is 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.

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