Harrow logo
HarrowPosted 2 weeks ago

Field Reimbursement Manager-Mid-Atlantic

Remote

Full TimeMediumPharmaceutical

Job Summary

Serve as the primary field point of contact for practice administrators, billing/coding staff, and clinical staff on reimbursement matters related to Harrow buy-and-bill brands. Provide non-promotional education on payer coverage policy, medical benefit billing/coding, prior authorization requirements, and claims submission best practices. Conduct account-level claims analysis to identify denial patterns and coding errors, translating findings into actionable guidance for the practice. Build and maintain trusted relationships with key accounts within the VA, MD, PA, and WV territory through regular business reviews to assess reimbursement performance and resolve access barriers. Proactively identify at-risk accounts and develop targeted intervention plans while partnering with Sales to align on account priorities. Escalate systemic payer issues to National leadership with supporting data and recommendations. Maintain accurate documentation of account activity in CRM systems and represent Harrow professionally in strict compliance with all laws and company policies.

Required Qualifications

  • 7+ years of proven success in the healthcare-related field, reimbursement, brand management, and/or sales experience
  • Buy-and-bill experience
  • Minimum 2 years of Field Reimbursement experience
  • Up to 80% travel

Desired Qualifications

  • Bachelor's degree preferred, or equivalent work experience
  • Healthcare credentialing and/or certification
  • Eye care experience
  • Private equity experience
  • HCPCS Level II (J-code) and Transitional Pass-Through reimbursement experience
  • Experience with benefit verifications, prior authorizations, claim assistance, and appeals
  • Payer coverage experience with Medicare (MACs), Medicare Advantage, Commercial, and Medicaid plans
  • Experience in conducting claims analysis and conducting regular QBRs with accounts

Hiring someone like this?

Get your role in front of qualified candidates on Sorce.

Get started

Apply to this job in one click with Sorce

Apply on Sorce