Field Reimbursement Manager-Ophthalmology – Minnesota, Wisconsin
$165,600–$209,600 year
RemoteUnited States
Job Summary
Develop and execute account plans to build reimbursement confidence with physician offices and support continued patient access. Proactively educate accounts on support services, coverage, and coding of Regeneron products while guiding healthcare professionals in resolving reimbursement barriers. Anticipate customer needs and market changes to adapt strategies, ensuring open lines of communication for existing and future products. Monitor and track the impact of support services and utilize approved access materials to address payer trends and policy updates. Manage product concerns and collaborate with leadership to develop compliant approaches to account issues. This role requires a Bachelor's degree, 5-8 years of pharmaceutical experience, and 3-5 years in healthcare coverage or coding. Candidates must reside within the assigned territory and travel 50%-70% of the time.
Required Qualifications
- Bachelor's degree from a four-year college or university
- 5-8 years' pharmaceutical/biotech/device experience
- minimum of 3-5 years healthcare coverage, coding and/or reimbursement experience
- Previous experience working with billing and medical claims personnel in various health care settings, including, but not limited to a physician office, hospital, HOPD or ASC
- Shown expertise in supporting healthcare provider offices with coding, billing, and submissions in range of payer environments
- Well versed with implementing and executing Medicare, Medicaid, and other payer initiatives
- familiar with CPT, HCPCS, ICD-10, revenue codes and DRG, coverage
- Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur
- Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies
- Candidate must reside within assigned territory
- have ability to travel 50%-70% of the time
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