Field Reimbursement Manager - Minneapolis (000022Q8)
Field Reimbursement Managers (FRMs) at Xcenda assist provider offices in resolving complex coverage and reimbursement issues that may create barriers to access for patients. Our teams travel weekly, Monday - Thursday, to healthcare offices within a designated territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to ultimately help patients.
Educating provider offices on local and regional payer issues, coding changes, and appropriate claims submission processes
Liaising with reimbursement hotlines regarding alternative funding/financial assistance programs
Assisting with determining coverage and access options available for a specific medication or procedure
Qualifications
5 years' experience with specialty providers in support of reimbursement
Technical knowledge of health care reimbursement from a patient and provider perspective (authorizations, miscellaneous J codes, billing coding, appeals process)
Live within 45 minutes of a major airport in the designated territory and be able to travel extensively (overnight - 80% of the time) within that territory
Knowledge of private payer, Medicare and Medicaid structure systems and reimbursement process