Field Reimbursement Manager
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Job Description
Field Reimbursement Manager working to resolve patient access issues in the healthcare industry. Collaborating with stakeholders to enhance patient access to life altering medications.
Responsibilities:
- Solve complex patient access issues by working across the Hub, provider offices and communicating with client field team
- Partner with client’s Sales Team, Payer Teams, Marketing, HCPs, and their Specialty Pharmacies
- Educate HCP and Office Staff on Patient Support Programs
- Guide healthcare providers through the prior authorization and appeals process
- The FRM will manage daily activities that support appropriate patient access to client’s products
- Coordinate with client’s patient support services programs representatives on patient cases and claim issues
- Conduct policy surveillance across regional payers to ensure appropriate coding, coverage, and payment of client’s products
- Lead sales training related to product reimbursement
Requirements:
- Associate's degree or higher in a related field or equivalent market experience
- 3+ in Pharma/Healthcare industry; working with specialty products, Hubs, Payers, HCP or related area
- Must have specific practice management, billing and/or coding experience for drugs, biologicals, or devices
- Must have general payer policy knowledge including public and private payers
- Demonstrated ability to conduct virtual and field-based reimbursement support and education
- Experience with Prior Authorizations, reimbursement billing, coding, and appeals process
- Knowledge of commercial payer, Medicare and Medicaid structure, systems, and reimbursement process
- Strong stakeholder engagement and communication skills
Benefits:
- Patient access to life altering medications
- Opportunities for creativity, growth, and success
- Diversity-driven organization with an inclusive approach
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