Field Reimbursement Manager – Ophthalmology

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

📋 Description

• Formulate and implement account strategies that enhance reimbursement confidence among customers (such as MDs and their teams) and facilitate ongoing patient access.

• Actively inform accounts about available support services to guarantee patient access to care, collaborating with leadership to assess and monitor the effectiveness of these services and their interactions with providers.

• Build cooperative relationships with Regeneron team members (e.g. Regional Directors and Medical Specialists) to educate medical offices on the coverage and coding of Regeneron products, thereby aiding patient access to care.

• Assist healthcare professionals in overcoming reimbursement challenges or obstacles while adhering to Regeneron’s policies and procedures.

• Anticipate and adjust to customer requirements and evolving market dynamics and difficulties.

• Exhibit proactive planning and efficient time management skills through the effective coverage of your designated FRM Territory.

• Foster positive relationships with accounts (including MDs, Administrators, and office staff) and proficiently address product-related concerns.

• Regularly inform customers about reimbursement prerequisites, payer trends, and policy updates, utilizing a range of approved access materials to bolster reimbursement confidence.

⛳️ Requirements

• Bachelor's degree from an accredited four-year college or university.

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

• Prior experience collaborating with billing and medical claims personnel across various healthcare environments, which may include physician offices, hospitals, HOPDs, or ASCs.

• Proven expertise in assisting healthcare provider offices with coding, billing, and submissions across a variety of payer contexts.

• Knowledgeable in the implementation and execution of Medicare, Medicaid, and other payer initiatives.

• Familiarity with health insurance claim forms, including UB-04, CMS-1500, explanation of benefits, prior authorization forms, and super bills charge tickets, to troubleshoot any billing, claims submission, or documentation discrepancies.

• Capability to analyze, interpret, and understand regulatory and legislative policies related to payers and healthcare.

• Candidates must reside within the designated territory and be willing to travel 50%-70% of the time.

🏝️ Benefits

• Annual bonuses or alternative incentive plans.

• Equity awards.

• Pension or retirement benefits.

• 401(k) company matching.

• Health and wellness programs.

• Access to fitness centers.

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

• Paid time off.

• Family support benefits.