Field Reimbursement Manager-South Central
RemoteUnited States
Job Summary
Serve as the primary field point of contact for practice administrators, billing staff, and clinical teams on reimbursement matters for Harrow's buy-and-bill brands. Provide non-promotional education on payer coverage, coding, billing, claims processes, and prior authorization requirements. Conduct account-level claims analysis to identify denial patterns and coding errors, then develop targeted intervention plans for at-risk accounts. Build and maintain trusted relationships with key accounts within the OK, TX, and KS territory through regular business reviews. Partner with Sales, the HUB, and Patient Services teams to coordinate benefit verification, appeals support, and sample programs. Maintain accurate documentation of account activity in CRM systems while escalating complex payer issues to National leadership. This role supports the expansion of patient access to Harrow therapies across the Retina and Surgical franchises.
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
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