Job Description
Field-based reimbursement manager role supporting oncology healthcare providers in Indianapolis or Detroit. Responsibilities include educating providers on patient support programs, specialty pharmacy access, payer policies, and managing key accounts while staying current on managed care trends.
Responsibilities
- Educate healthcare providers on patient support programs and reimbursement support tools
- Communicate specialty pharmacy, distribution, and access options for oncology products
- Advise providers on payer policies, coding changes, and proper claims submission processes
- Establish and maintain relationships with providers in assigned territory
- Report payer trends to internal Patient Services and account management teams
Requirements
- Oncology or hematology-oncology experience with physician-administered therapies or buy-and-bill products
- Demonstrated knowledge of coverage, coding, billing, prior authorization, and payer policies
- Strong ability to communicate technical coding and billing requirements across care settings
- Comprehensive understanding of Medicare Parts A, B, C, and D reimbursement dynamics
- Healthcare industry representative (HCIR) credentialing eligibility and compliance capability
- Bachelor's degree and valid driver's license
- Territory and account management skills
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