Field Reimbursement Specialist

Cencora

. Educate healthcare providers, office staff, and practice managers on insurance, reimbursement, access, coding, billing, formulary, prior authorization, and appeal processes .

Posted 10/15/2026full-timeRemote • United StatesMid-LevelSenior💰 $94,500 - $148,060 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in reimbursement processes, including prior authorization, coding, and appeals, while effectively educating healthcare providers and staff on insurance and access issues. Proficient in managing patient access challenges and collaborating with cross-functional teams to enhance service delivery.

Highest-signal resume keywords

Field Reimbursement ManagementPrior Authorization Certified Specialist (PACS)Revenue Cycle ManagementPharmacy Benefit AccessEducational Presentation Delivery

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CodingBillingFormulary ManagementPrior AuthorizationAppeals ProcessesBenefit InvestigationsTime ManagementPlanning

Soft Skills

CollaborationProblem Solving

Tools & Technologies

Microsoft WordMicrosoft PowerPointMicrosoft ExcelMicrosoft Outlook

Certifications & Qualifications

Prior Authorization Certified Specialist (PACS)

Industry Keywords

HealthcareSpecialty PharmacyPatient AccessReimbursement SupportInsurance

About the role

Key responsibilities & impact

Educate healthcare providers, office staff, and practice managers on insurance, reimbursement, access, coding, billing, formulary, prior authorization, and appeal processes
Support patient access to client products by resolving reimbursement and coverage challenges
Collaborate with patient assistance and reimbursement support services offered by the client
Serve as a liaison between providers, manufacturers, pharmacies, and payers
Inform office staff of important coverage and payer policy changes within assigned territories
Probe office processes and identify root causes of access or reimbursement issues
Deliver interactive educational presentations at various provider sites of service
Provide client-approved information on reimbursement topics related to client products
Travel weekly, including potential overnight stays, to healthcare offices within the designated territory
Perform other related duties as assigned

Requirements

What you’ll need

High School Diploma/GED required
Bachelor's degree or relevant practice management experience preferred
Previous experience as Field Reimbursement Manager/Specialist preferred
Previous experience working in healthcare directly resolving pharmacy benefit access issues
Experience with extensive travel
Willingness to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment
Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners
Understanding of the dynamics of specialty pharmacy
Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes
Deep understanding of pharmacy benefits/policies
Strong time management and planning skills
Proficiency in Microsoft Word, PowerPoint, Excel, and Outlook
Must live within a reasonable commuting distance of a major airport in the listed location
Must be able to travel up to 80% within the designated territory

Benefits

Comp & perks

Medical, dental, and vision care
Backup dependent care
Adoption assistance
Infertility coverage
Family building support
Behavioral health solutions
Paid parental leave
Paid caregiver leave
Training programs
Professional development resources
Mentorship programs
Employee resource groups
Volunteer activities