The CoverMyMeds Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific 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.
Compensation
Our Base Pay Range for this position
$72,200 - $120,400
Responsibilities
Provide on-site and on-demand education for office staff regarding Reimbursement challenges and support services
Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams
Provide 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
Responsible for setting up appointments and completing outbound calls to targeted offices
Monitor program performance for physicians and manufacturer representatives in accordance with expectations
Requirements
4-year degree in related field or equivalent experience
The CoverMyMeds Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific 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.
Compensation
Our Base Pay Range for this position
$84,300 - $140,500
Responsibilities
Provide on-site and on-demand education for office staff regarding Reimbursement challenges and support services
Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams
Provide 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
Responsible for setting up appointments and completing outbound calls to targeted offices
Monitor program performance for physicians and manufacturer representatives in accordance with expectations
Requirements
4-year degree in related field or equivalent experience
Nice to have: Previous field experience
Nice to have: Previous experience with specialty pharmacy
Consultative sales executive responsible for growing the commercial carrier, MGA and program business pipeline, achieving annual sales targets and implementing the strategic and tactical initiatives of the company.
Compensation
Starting base pay for this role is between $150,000 and $165,000.
Responsibilities
Develop a strong pipeline of prospective commercial policy and claims administration customers through prospecting activities, personal introductions, referrals, RFPs and website inquiries.
Consult with prospective customers to clearly understand and define their needs.
Leverage industry knowledge to offer advice and perspective to prospective clients during the sales process.
Prepare price proposals and statements of work that reflect the needs of each prospective client and the capabilities and standards of Origami.
Confirm or estimate potential strong competitors on each opportunity and devise a strategy to successfully compare and contrast Origami to each of them.
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy, and ensure prescription claims are adjudicated correctly according to the coordination of benefits.
Compensation
Starting salary from $24.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before December 31st, 2026.
Responsibilities
Adjudicate pharmacy claims and review claim responses for accuracy
Resolve third-party rejections and obtain overrides
Perform patient outreach notification regarding medication delivery delays due to insurance claim rejections
Practice first call resolution for healthcare providers and patients
Ensure complete and accurate patient setup in CPR+ system
Requirements
High School Diploma or GED
Associate degree or equivalent program from a 2 year program or technical school
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy, ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections.
Compensation
Starting salary from $26.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before December 31st, 2026.
Responsibilities
Adjudicate pharmacy claims
Review claim responses for accuracy
Resolve third-party rejections
Obtain overrides
Perform patient outreach regarding claim delays
Requirements
High School Diploma or GED
Associate degree or equivalent program from a 2 year program or technical school
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy, ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections.
Compensation
Starting salary from $25.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before December 31st, 2026.
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy, ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections.
Compensation
Starting salary from $22.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before December 31st, 2026.
Responsibilities
Adjudicate pharmacy claims and review claim responses for accuracy
Resolve third-party rejections and obtain overrides
Senior Sales Executive - P&C SolutionsNewOrigami Risk LLC · Remote
Pharmacy Claims Adjudication SpecialistOnco360 · Woodridge, US
Commercial Account HandlerEverywhen · Brierley Hill, United Kingdom