Demo

Field Reimbursement Specialist

RemX | The Workforce Experts
Jacksonville, FL Full Time
POSTED ON 3/8/2025
AVAILABLE BEFORE 6/6/2025

Join Our Team as a Field Reimbursement Specialist!

Start Date : March

We are looking for a dedicated Field Reimbursement Specialist who has a strong background in Retail and Specialty Pharmacy , particularly in areas such as prior authorizations, appeals, denials, and provider education.

This is a field-based role covering the Jacksonville-Tallahassee, FL territory.

Key Responsibilities Include :

  • Managing your designated territory effectively.
  • Training provider office staff on reimbursement processes.
  • Navigating complex reimbursement challenges to achieve optimal outcomes for patients.

Ideal Candidates Will Have Experience With :

  • Prior authorizations, benefits investigations, appeals & denials.
  • Knowledge of Medicare & Medicaid, including the local payor landscape.
  • Navigating access challenges when PHI is unavailable.
  • Handling escalations, commercial co-pay approvals, and patient assistance programs.
  • Staying current on drug policies, FDA indications, and reimbursement changes.
  • If you possess the expertise and are passionate about ensuring that patients receive the medications they need, we encourage you to apply today!

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