Field Reimbursement Manager

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🕒 March 21

🏛️ District of Columbia, Pennsylvania – Remote

🏛️ District of Columbia – Remote 🔔 Pennsylvania – Remote

💵 $100k - $120k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Vericel® Corporation

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1989

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $74.8M Post-IPO Equity on 2018-06

Biotechnology • Healthcare Insurance • Pharmaceuticals

Vericel Corporation is a biotechnology company that manufactures and markets advanced cell therapy products aimed at the sports medicine and severe burn care markets in the United States. It offers unique treatments such as MACI for knee cartilage repair and Epicel for burn care, and holds exclusive rights to the biological product NexoBrid for eschar removal of severe thermal burns.

📋 Description

• Educate healthcare facilities on procurement, reimbursement, and billing options for Vericel products. • Support new sites of care with initial ordering, onboarding, and reimbursement processes. • Assist facilities in identifying appropriate coding, billing, and reimbursement pathways under the medical benefit. • Proactively follow up with sites to track claims submission, payment status, and resolution of reimbursement issues. • Assist customers with appeals and reconciliation for under-reimbursement, including support for non-direct billing agreement contracts. • Support customers in securing single case agreements for Epicel® and/or MACI®. • Mitigate product procurement challenges at sites of care to minimize treatment delays, cancellations, or reductions. • Collaborate with Vericel’s hub services, specialty pharmacy, and other contracted partners to support seamless customer experience. • Analyze reimbursement and program data to assess performance and communicate insights to the Commercial organization.

🎯 Requirements

• Deep understanding of medical benefit reimbursement, CPT and hospital billing processes. • Experience supporting reimbursement for complex biologics and surgical procedures, including HCPCS and CPT coding. • Demonstrated experience working with hospital accounts and site-of-care stakeholders. • Strong understanding of how payer and reimbursement policies impact prescriber behavior, patient access, and sales force activity. • Proven ability to work cross-functionally within a matrix organization and with external partners. • Strong communication, relationship-building, and problem-solving skills. • Ability to manage multiple priorities in a fast-paced, field-based environment. • Ability to travel 30-50% of the time.

🏖️ Benefits

• Cutting-Edge Science: Work with a leading regenerative medicine product that is transforming patient care. • Career Growth: Be a part of a growing organization with opportunities to expand your impact. • Collaborative Culture: Work alongside a team of dedicated professionals who are passionate about improving lives.