Syneos Health Commercial Solutions
Virtual Field Reimbursement Specialist
Syneos Health Commercial Solutions, Madison, Wisconsin, us, 53774
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Overview
The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined accounts in a specified geographic region across numerous therapeutic areas. The VFRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of reimbursement process, field reimbursement services, and patient support programs. The Reimbursement Specialist will also work on patient-level reimbursement issue resolution. In this role, the VFRS will demonstrate unwavering support and a consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The VFRS will have a direct impact on a patient’s ability to access the therapies they need. Responsibilities
Manage daily activities that support appropriate patient access to our client’s products in the provider offices and work as a liaison to other patient assistance and access support services offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy Services) Act as an extension of the call center and/or HUB and provide live one-on-one coverage support Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials provided by the client Review patient-specific information in reimbursement cases where the office has specifically requested assistance in resolving access issue or coverage challenge Educate physician office staff on the use of our client’s patient support services, including web-based provider portals Qualifications
Bachelor's Degree Minimum two years of experience in public or private third party access arena or pharmaceutical industry in managed care, clinical support, and/or sales Experience with specialty/biologic or physician administered products Demonstrated ability to educate offices on access processes – including but not limited to: Experience educating HCPs on client specific Patient Service programs (i.e. copay, nurse education, bridge, patient assistance, etc.) Experience delivering educational presentations Advanced knowledge of medical insurance terminology Knowledge of CMS policies and processes with expertise in Medicare Parts B & D Why Syneos Health
At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to apply anyway. We also encourage you to join our Talent Network to stay connected to additional career opportunities. Equal Opportunity and Vaccination Policy
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled). Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Certain local governments or Syneos Health customers may have vaccine requirements that apply to some employees. Employees may be required to submit proof of vaccination to comply with these requirements. Benefits
We offer a competitive compensation package and benefits including health coverage (Medical, Dental and Vision), 401(k) with company match, flexible PTO and sick time. Eligibility for paid sick time may vary by location.
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The Virtual Field Reimbursement Specialist (VFRS) will be responsible for the management of defined accounts in a specified geographic region across numerous therapeutic areas. The VFRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of reimbursement process, field reimbursement services, and patient support programs. The Reimbursement Specialist will also work on patient-level reimbursement issue resolution. In this role, the VFRS will demonstrate unwavering support and a consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The VFRS will have a direct impact on a patient’s ability to access the therapies they need. Responsibilities
Manage daily activities that support appropriate patient access to our client’s products in the provider offices and work as a liaison to other patient assistance and access support services offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy Services) Act as an extension of the call center and/or HUB and provide live one-on-one coverage support Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials provided by the client Review patient-specific information in reimbursement cases where the office has specifically requested assistance in resolving access issue or coverage challenge Educate physician office staff on the use of our client’s patient support services, including web-based provider portals Qualifications
Bachelor's Degree Minimum two years of experience in public or private third party access arena or pharmaceutical industry in managed care, clinical support, and/or sales Experience with specialty/biologic or physician administered products Demonstrated ability to educate offices on access processes – including but not limited to: Experience educating HCPs on client specific Patient Service programs (i.e. copay, nurse education, bridge, patient assistance, etc.) Experience delivering educational presentations Advanced knowledge of medical insurance terminology Knowledge of CMS policies and processes with expertise in Medicare Parts B & D Why Syneos Health
At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to apply anyway. We also encourage you to join our Talent Network to stay connected to additional career opportunities. Equal Opportunity and Vaccination Policy
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled). Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Certain local governments or Syneos Health customers may have vaccine requirements that apply to some employees. Employees may be required to submit proof of vaccination to comply with these requirements. Benefits
We offer a competitive compensation package and benefits including health coverage (Medical, Dental and Vision), 401(k) with company match, flexible PTO and sick time. Eligibility for paid sick time may vary by location.
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