Job Summary
The Payor Reimbursement Specialist is responsible for overseeing daily reimbursement processes related to payors, which includes managing communications, handling escalations, and maintaining contract documentation. This role acts as an intermediary between reimbursement leadership, sales teams, and operational departments to facilitate efficient payer account management and ensure accessible medication options.
Responsibilities
- Oversee the daily operations of payor reimbursement processes.
- Manage communications with stakeholders regarding reimbursement matters.
- Handle escalations to resolve issues related to payer accounts.
- Maintain and organize reimbursement contract documents.
- Serve as a liaison for coordination between reimbursement leadership and internal teams.
Qualifications
- A minimum of 3 years of experience in the healthcare sector or a medical provider environment, particularly in pharmacy or medical billing.
- A bachelor’s degree in business or life sciences is preferred.
- Strong interpersonal skills to effectively communicate with various stakeholders.
- Proficient research skills to gather relevant information.
- Ability to make independent decisions based on gathered data.
Onco360 provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
