Virtual Reimbursement Field Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Engage in virtual outreach with healthcare providers, hospitals, physician offices, and reimbursement teams.

• Offer education and assistance pertaining to patient access and reimbursement processes.

• Act as a subject matter expert on reimbursement, billing, coding, J-codes, and buy-and-bill procedures for pharmaceutical products.

• Train and onboard healthcare providers and their office staff on billing procedures, coding requirements, and payer coverage policies.

• Collaborate with Market Access leadership to support commercial and Medicaid payer initiatives.

• Function as the primary contact for inquiries related to reimbursement.

• Identify and address challenges related to coverage, billing, and patient access.

• Analyze benefit verification requests and results to pinpoint reimbursement obstacles.

• Work alongside Sales, Market Access, and Patient Services teams to provide customer support and relay reimbursement updates.

• Maintain virtual engagement with around 10–15 healthcare offices or facilities each day.

• Assist with product procurement, billing, coding, and reimbursement matters.

• Carry out activities in alignment with company policies, industry regulations, and compliance standards.

⛳️ Requirements

• A bachelor's degree in Business, Health Sciences, Healthcare Administration, Management, or a related discipline.

• Over 3 years of experience in the biotechnology, pharmaceutical, medical device, or healthcare sectors.

• More than 3 years of practical experience in reimbursement, billing, and coding within healthcare, biotechnology, pharmaceuticals, wound care, or surgical devices.

• Extensive knowledge of healthcare reimbursement practices, medical terminology, billing procedures, coding, payer coverage policies, and compliance regulations.

• Proven experience in supporting healthcare providers with buy-and-bill processes, including the purchasing and billing of pharmaceutical products under J-codes.

• Experience in launching new biologics or innovative therapies that involve medical and pharmacy benefits.

• Excellent communication, problem-solving, and relationship management abilities.

• Capability to effectively engage healthcare providers and internal teams in a virtual setting.

• Ability to work autonomously and handle multiple priorities.

• Skill in resolving reimbursement and patient access issues while prioritizing a patient-first approach.

• An advanced degree (MBA or MS) is preferred.

• Experience in reimbursement or account management within biotechnology, especially in dermatology and buy-and-bill products, is preferred.

• Direct experience working with commercial and Medicaid payers is preferred.

• Certification as a Certified Professional Coder (CPC) is preferred.

🏝️ Benefits

• An inclusive and welcoming work environment.

• Equal opportunity employment.

• Assistance and accommodations available during the application process.