Field Reimbursement Manager – Ophthalmology

4 hours ago

🌲 Oregon – Remote

Although this job is listed in Oregon, this company may be open to hiring remote in other states.

☕ Washington – Remote

Although this job is listed in Washington, this company may be open to hiring remote in other states.

💵 $165.6k - $209.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Regeneron

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Biotechnology • Pharmaceuticals • Healthcare Insurance

Regeneron is a biotechnology company dedicated to turning scientific discoveries into life-changing medicines. The company focuses on a range of serious diseases including allergic, cardiovascular, and metabolic diseases, neuroscience, oncology, hematology, ophthalmology, and rare diseases. It achieves this by integrating biology and technology to develop cutting-edge biologics and genetic medicines. Regeneron is committed to health equity, environmental sustainability, and supporting future STEM talent through initiatives like the Regeneron Science Talent Search. By maintaining high ethical standards and corporate responsibility, Regeneron aims to push the boundaries of science for better healthcare solutions.

10,000+ employees

Founded 1988

🧬 Biotechnology

💊 Pharmaceuticals

⚕️ Healthcare Insurance

💰 Post-IPO Equity on 2023-10

📋 Description

• Develop and execute account plans that build reimbursement confidence with customers (e.g. MD and staff) & support continued patient access. • Proactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. • Develop collaborative relationships with Regeneron colleagues (ex. Regional Directors and Medical Specialists) to educate physician offices in coverage/coding of Regeneron products and support patient access to care. • Guide healthcare professionals in resolving reimbursement issues or barriers in a manner that follows Regeneron policies and processes. • Anticipate and adapt to the customer’s needs, as well as market changes and challenges. • Demonstrate proactive planning and time management skills by the efficient and effective coverage of your assigned RBM Territory. • Establish positive working relationships with accounts (e.g. MD’s, Administrators & office staff) and effectively manage product concerns. • Proactively update customers regarding reimbursement requirements, payer trends, and payer policy changes and utilize basket of company approved access materials to support reimbursement confidence.

🎯 Requirements

• Previous experience working with billing and medical claims personnel in various health care settings, including, but not limited to a physician office, hospital, HOPD or ASC. • Shown expertise in supporting healthcare provider offices with coding, billing, and submissions in range of payer environments. • Well versed with implementing and executing Medicare, Medicaid, and other payer initiatives. • Familiar with CPT, HCPCS, ICD-10, revenue codes and DRG, coverage. • Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur. • Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies. • To be considered for this role, we expect you to have a bachelor's degree. • 5-8 years' pharmaceutical/biotech/device experience, including minimum of 3-5 years healthcare coverage, coding and/or reimbursement experience. • Worked with products delivered through a Specialty Pharmacy network. • Candidate must reside within assigned territory and have ability to travel 50%-70% of the time.

🏖️ Benefits

• health and wellness programs (including medical, dental, vision, life, and disability insurance) • fitness centers • 401(k) company match • family support benefits • equity awards • annual bonuses • paid time off • paid leaves (e.g., military and parental leave) for eligible employees at all levels