Reimbursement Territory Manager
Location:
Chicago , Illinois
Posted:
January 27, 2017
Reference:
16009756/1-en-us

McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. At McKesson Specialty Health, our products and services span the full continuum of specialty patient care. From the initial phases of a product life cycle and the distribution of specialty drugs, to fully integrated healthcare technology systems, practice management support, and ultimately to patient care in the communities where they live, we empower the community patient care delivery system by helping community practices advance the science, technology and quality of care.

 

We have a vision —that the long-term vibrancy of community care will be achieved through the leadership of physicians committed to clinical excellence and innovation, enabled by close collaboration with our organization and our deep clinical, operational and technological expertise. Every single McKesson employee contributes to our mission—by joining McKesson Specialty Health you act as a catalyst in a chain of events that helps millions of people all over the globe. You’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.

Join our team of leaders to begin a rewarding career.
 

Empowering the delivery of excellent patient care in facilities close to their homes starts with you. Every person’s job at McKesson Specialty Health makes a difference in the lives of patients throughout the country.  

Our products and services touch the full continuum of specialty patient care. From the initial phases of a product life cycle and the distribution of specialty drugs, to fully integrated healthcare technology systems, practice management support, and ultimately to patient care in the communities where they live, McKesson Specialty Health empowers the community patient care delivery system by helping community practices advance the science, technology and quality of care.

The rising cost of cancer care is a concern throughout the healthcare industry. The US Oncology Network, supported by McKesson Specialty Health, is one of the nation's largest networks of physicians devoted exclusively to cancer treatment and research, and is a pioneer in community-based cancer care. Annually, this nation-wide network of approximately 10,000 physicians, clinicians and administrators delivers high-quality, integrated cancer care to more than 750,000 cancer patients in their own hometowns. With patient support, education, finely-tuned evidence-based pathways and access to the latest technologies and therapies, patients treated through practices affiliated with The US Oncology Network can feel confident in the care they receive.

Through our exceptional leadership team that supports our vision — that the long term vibrancy of community care will be achieved through the leadership of practices committed to clinical excellence and innovation – you can feel confident in our direction and your future.

 
Current Need:
 

The Field Reimbursement Territory Manager (FRTM) is responsible for managing an assigned territory focused on supporting Reimbursement  and Patient services by providing assistance with patient reimbursement challenges for Vascular 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. This position is client-facing and customer-facing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences. The Field Reimbursement Territory Manager works independently in a fast paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRTM will frequently interact via telephone with providers and internal staff to arrange site visits, Manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. Position will require extensive travel, project management and/or account coordination.

 

**This position will be supporting customers in North Central (IL,MI, WI, OH, KY) territory.  The desired applicant will already need to reside within this North Central territory region, preferrable in Chicago, IL or Detroit MI and near a major airport

 
 
Key Responsibilities:

Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) for the office staff in regards 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  
  • Buy & Bill process
  • 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. (Includes account profiles)

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

Utilize performance tracking tools & survey

Qualifications

Qualifications
 
Minimum Requirements
Entry-level experience in project management
Critical Skills
  •     Bachelor’s Degree required; degree in Business or Healthcare related field preferred or a minimum of 8 years healthcare related reimbursement experience
  •     Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
  •     Experience in the healthcare industry including, but not limited to insurance verification and/or claim adjudication, physician’s office or clinics.
  •     Must have Medicare and commercial insurance coverage experience.
  •     Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis.
  •     Strong customer service experience
  •     Proven presentation skills and experience
  •     Ability to effectively handle multiple priorities within a changing environment.
  •     Excellent organizational skills
  •     Strong Computer literacy    
    •         Must include PowerPoint
    •         Must include Web Meeting experience  
  •     Must have a valid driver's license with a clean driving record/ MVR
 
Additional Knowledge & Skills
  •     Previous field experience, a plus
  •     Vascular experience and knowledge, a plus
  •     Account management and project management experience, a plus
  •     Excellent Interpersonal skills.
  •     Excellent written and oral communication skills
  •     Problem solving and decision making skills
 
Education
4-year degree in related field or equivalent experience
Travel Requirements
  •     Must be able to travel 80% (4 days a week) via automobile or plane
  •     Must have a valid driver's license with a clean driving record/ MVR
 
Physical Requirements
General Office Demands
 
 
Benefits & Company Statement

We believe you should be rewarded for the important work you do. For that reason, you'll receive a competitive compensation and benefits package when you join our team.

It starts with you. That's a simple sentence but it says a lot. It reminds each one of us that what we do matters. Every single McKesson employee contributes to our mission - whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. By connecting and improving the business of healthcare, we're helping to ensure that millions of patients get the treatment they need. And by choosing a career with McKesson Specialty Care Solutions, you'll join a team of passionate people working together to improve lives and advance healthcare.

At McKesson, we believe we can empower healthcare. And it all starts with you.

Qualified applicants will not be disqualified from consideration for employment based upon criminal history.

McKesson is an equal opportunity and affirmative action employer - minorities/females/veterans/persons with disabilities.

 
Agency Statement
No agencies please.
 
 


A little about us:
McKesson is in business for better health.

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