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Field Reimbursement Manager

Job Description:

The Field Reimbursement Manager will provide expertise in reimbursement to all Korlym customers. This position will support physician offices throughout all facets of the reimbursement cycle, ensuring optimal access and creating understanding of access services and program support.


Responsibilities:

  • Offer assistance from prescription to fill, supporting the entire access journey through payer prior authorization to appeals/denials requirements procedures and forms including phone experience with the confidence to carry through a verbal rejection to reprocessing
  • Establish relationships within a practice by working closely with them to help remove access barriers to specialty products for their patients
  • Analyze, interpret and understand regulatory and legislative payer and healthcare policies
  • Travel required

Requirements:

  • B.A / B.S required
  • 3-5+ years in pharma/biotech industry, with 2-3+ years managed care, healthcare coverage, billing/coding, and reimbursement experience
  • Ability to review clinical information in patient charts, understand and interpret payer policy to provide guidance to HCP offices on how they may proceed in filling out prior authorization/formulary exception/appeals documentation
  • Working knowledge of Call Center systems and processes
  • Experience with specialty products acquired through Specialty Pharmacy
  • Proven expertise in supporting healthcare provider offices with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, coding, billing
  • Experience developing and using Excel-based models and conducting quantitative analysis and familiar with customer relationship management tools (e.g., Salesforce)

If you are interested, please submit your resume by email to hr@corcept.com

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