Field Reimbursement Manager

ManagerManagerFull TimeRemoteTeam 5,001-10,000H1B SponsorCompany SiteLinkedIn

Location

Texas

Posted

1 day ago

Salary

$160K - $175K / year

Bachelor DegreeEnglish

Job Description

• Proactively address patient access barriers by working with customers and accounts to resolve complex reimbursement issues, including prior authorizations, appeals, and denials. • Educate private practices, multi-specialty groups, facilities, and their staff on reimbursement support programs, coverage, coding, and payer policies. • Partner with internal and external stakeholders to identify, anticipate, and address patient and practice reimbursement challenges. • Collaborate cross-functionally with Market Access, Patient Services, and Field Sales to provide compliant support for patients’ access to therapy. • Deliver clear and actionable information to practice managers, billing staff, nurses, and reimbursement teams to improve their understanding of payer policies and processes. • Provide real-time communication on payer policy updates and system changes that impact patient access in assigned accounts. • Conduct regular reviews with practices to understand their utilization of reimbursement support services and recommend program enhancements based on customer needs. • Handle patient health information (PHI) in accordance with HIPAA guidelines and company compliance policies.

Job Requirements

  • Proven experience in resolving complex patient access challenges, including prior authorizations, appeals, and denials.
  • Strong knowledge of the US healthcare system, reimbursement policies, and patient assistance programs.
  • Familiarity with the appropriate handling and use of PHI under HIPAA and other relevant legal frameworks.
  • Expertise in sales, sales management, marketing, training, market access, or account management
  • Demonstrated ability to collaborate cross-functionally and manage stakeholder relationships effectively.
  • Ability to analyze customer insights and market dynamics to adapt strategies for patient access and support.
  • Willingness to travel as needed for field activities, meetings, and conferences, including overnight travel (>75%)

Benefits

  • Health insurance
  • 401(k) matching
  • Flexible working hours
  • Paid time off
  • Remote work options

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