Lead clinical operations and staff in a progressive care unit at MercyOne Des Moines Medical Center, ensuring high-quality patient care, safety, and compliance while managing resources and fostering a culture of excellence.
The Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address HCP questions about patient access.
Compensation
The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range.
Responsibilities
Educate HCPs on patient support programs, including access and reimbursement support tools and services
Educate on product-specific acquisition and access options such as specialty pharmacy networks and specialty distribution
Educate on resources available to address access issues
Provide local expertise regarding national/regional payor policies to educate providers on payer issues, coding changes, and appropriate claims submission processes
Liaise with AbbVie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility
Requirements
Bachelor’s degree in health, sciences, pharmacy or business-related field
Nice to have: Bachelor’s degree in health, sciences, pharmacy or business-related field
The Physical Therapist is responsible for the evaluation, planning and implementation of a treatment plan addressing the functional needs of a variety of patient diagnoses.
Compensation
$60.00 - $60.00
Responsibilities
Integrates subjective and objective data to establish a treatment plan.
Utilizes exercise, physical agents, and manual techniques to address deficits.
Maintains a thorough record of services provided with appropriate coding and billing.
Communicates with other disciplines and referring providers to enhance outcomes.
Performs thorough and timely electronic documentation.
Requirements
Graduate of an accredited school of Physical Therapy
Field Reimbursement Manager (FRM) responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) regarding patient access to J&J Immunology therapies.
Locations (2)
Austin, Texas, United States
San Antonio, Texas, United States
Compensation
The anticipated base pay range for this position is : $105,000.00 - $181,700.00
Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations
Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team
Act with a sense of urgency to address critical access and affordability issues for patients
Partner with managed care colleagues to understand current policies and potential future changes
Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement
The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies.
Compensation
The annual base salary range is from $158,394 -$185,578 for Level 5 , $164,276 - $ 222,256 for Level 6. Actual salary will vary based on several factors including, but not limited to, relevant skills, experience, and qualifications.
Responsibilities
Serve as a resource on patient access and reimbursement for infused and specialty therapies
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims
Provide education regarding coding and billing considerations relevant to therapy access
Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
Physician Assistant or Family Nurse Practitioner - Urgent Care | Full-time| Victoria, TXNextCare · Victoria, US