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Adecco is currently assisting one of its clients in their search for a Field Reimbursement Manager to work REMOTELY from St. Louis, Missouri to manage the Midwest territory.

**Pay rate** : $51.92 – 60.10

**Shift availability** : Monday – Friday 9am – 5pm

**Location** : St. Louis, MO but will work remotely. Travel in field is 3-4 days per week

Temp to Hire

For instant consideration for this role, click on Apply Now and don’t forget to upload your resume!

- Provide on-site and on-demand education (including Lunch and Learns) for the office staff in regard to Reimbursement challenges and support services that are available. Office interaction will include education and reimbursement support. On-site/virtual interactions are required based on client expectations These activities are recorded and tracked for reporting purposes daily with reporting to manager weekly.

- Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. Monthly activity reporting captures educational topics at FRM level reportable to client based on client expectation. This trended data is also reported quarterly to client.

- Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs. FRM will collaborate with internal and external stakeholders required to ensure timely and efficient workflow based on program service levels agreements. All interactions and activities are tracked for reporting purposes.

- Responsible for setting up appointments and completing outbound 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. All FRM interactions/activities are tracked in specified FRM CRM which are reportable to management and client.

- Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance will be monitored via FRM CRM dashboard daily. Trending results will be identified through quarterly reporting. Additionally, clients have the option to survey customers on program performance.

Minimum Job Qualifications Education/Training:

• 4-year degree in related field or equivalent experience Business Experience:

• Entry-level experience in project management

• Minimum of 8 years healthcare related reimbursement experience

Support in retail drug space preferred

• Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.

• Experience supporting program specific drug therapy space, i.e., oncology, dermatology, etc.

• Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, 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 regularbasis.

• 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 to include PowerPoint and Web Meeting experience. Specialized

Knowledge/Skills:

• Previous field experience, a plus

• Previous experience with specialty pharmacy a plus

• Account management experience, a plus

• Excellent Interpersonal skills.

• Excellent written and oral communication skills.

• Problem solving and decision-making skills.

Working Conditions:

• General Office Demands – Remote, WFH Travel Requirements:

• Must reside in territory.

• Must be able to travel 80% (4 days a week) via automobile or plane. Confidentiality Notice: This document, including any attachments, is for the sole use of its intended recipients and may contain confidential, Work Instructions

• Must have a valid driver's license with a clean driving record/ MVR. Physical Requirements **:**

• Possible long periods of sitting and/or keyboard work. General office demands.

As a reminder, this role is being recruited for by one of our National Recruitment Teams and not your local Branch. In order to be considered, please follow the steps included upon your application. If you are interested in the role **,** APPLY NOW for instant consideration!

**Pay Details:** $51.92 to $60.10 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

+ The California Fair Chance Act

+ Los Angeles City Fair Chance Ordinance

+ Los Angeles County Fair Chance Ordinance for Employers

+ San Francisco Fair Chance Ordinance