Field Reimbursement Manager
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Job Description
Field Reimbursement Manager educating healthcare facilities on reimbursement pathways for Vericel products. Driving access and payment optimization through partnerships and data analysis.
Responsibilities:
- Educate healthcare facilities on procurement, reimbursement, and billing options for Vericel products.
- Support new sites of care with initial ordering, onboarding, and reimbursement processes.
- Assist facilities in identifying appropriate coding, billing, and reimbursement pathways under the medical benefit.
- Proactively follow up with sites to track claims submission, payment status, and resolution of reimbursement issues.
- Assist customers with appeals and reconciliation for under-reimbursement, including support for non-direct billing agreement contracts.
- Support customers in securing single case agreements for Epicel® and/or MACI®.
- Mitigate product procurement challenges at sites of care to minimize treatment delays, cancellations, or reductions.
- Collaborate with Vericel’s hub services, specialty pharmacy, and other contracted partners to support seamless customer experience.
- Analyze reimbursement and program data to assess performance and communicate insights to the Commercial organization.
Requirements:
- Deep understanding of medical benefit reimbursement, CPT and hospital billing processes.
- Experience supporting reimbursement for complex biologics and surgical procedures, including HCPCS and CPT coding.
- Demonstrated experience working with hospital accounts and site-of-care stakeholders.
- Strong understanding of how payer and reimbursement policies impact prescriber behavior, patient access, and sales force activity.
- Proven ability to work cross-functionally within a matrix organization and with external partners.
- Strong communication, relationship-building, and problem-solving skills.
- Ability to manage multiple priorities in a fast-paced, field-based environment.
- Ability to travel 30-50% of the time.
Benefits:
- Cutting-Edge Science: Work with a leading regenerative medicine product that is transforming patient care.
- Career Growth: Be a part of a growing organization with opportunities to expand your impact.
- Collaborative Culture: Work alongside a team of dedicated professionals who are passionate about improving lives.
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