Field Reimbursement Manager

This is a fully remote position, open to applicants in Oklahoma, +1 more state.

📋 Description

• Provide support to physician offices throughout all aspects of the reimbursement cycle.

• Maintain clear communication regarding both current and future Regeneron products.

• Create and implement account plans that enhance reimbursement confidence and facilitate ongoing patient access.

• Educate accounts on support services while monitoring their impact and interactions with healthcare providers.

• Collaborate with Regional Directors, Medical Specialists, and other colleagues at Regeneron.

• Inform physician offices about coverage and coding related to Regeneron products.

• Assist healthcare professionals in addressing reimbursement issues and obstacles in line with Regeneron policies and procedures.

• Anticipate and adapt to the needs of customers, market dynamics, and challenges.

• Effectively cover the designated RBM territory in an efficient manner.

• Build and maintain relationships with physicians, administrators, and office staff.

• Address product-related concerns.

• Keep customers informed about reimbursement requirements, payer trends, and changes in payer policies.

• Utilize company-approved access materials to bolster reimbursement confidence.

⛳️ Requirements

• A bachelor's degree from a four-year college or university.

• 5-8 years of experience in the pharmaceutical, biotech, or device sectors, including at least 3-5 years in healthcare coverage, coding, and/or reimbursement.

• Previous experience collaborating with billing and medical claims personnel in various healthcare environments, such as physician offices, hospitals, HOPDs, or ASCs.

• Expertise in supporting healthcare provider offices with coding, billing, and submissions across different payer systems.

• Experience in implementing and executing Medicare, Medicaid, and other payer initiatives.

• Familiarity with CPT, HCPCS, ICD-10, revenue codes, and DRG coverage.

• Understanding of UB-04, CMS-1500, explanation of benefits, prior authorization forms, and super bills/charge tickets.

• Ability to analyze, interpret, and comprehend regulatory and legislative payer and healthcare policies.

• Candidates must reside within the assigned territory.

• Willingness to travel 50%-70% of the time.

🏝️ Benefits

• Annual bonuses or other incentive plans.

• Equity awards.

• Pension or retirement benefits.

• 401(k) company match.

• Health and wellness programs.

• Access to fitness centers.

• Comprehensive medical, dental, vision, life, and disability insurance benefits.

• Paid time off.

• Family support benefits.

• Reasonable accommodations during the recruitment process where required.