Field Reimbursement Manager

🕒 June 19

⛰️ Colorado, Idaho, +12 more states – Remote

⛰️ Colorado – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🌾 North Dakota – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🗿 South Dakota – Remote ⛷️ Utah – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 26%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Mercalis

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Mercalis is an innovative platform that streamlines supply chain management through advanced technology and data analytics. By providing real-time insights and seamless integration with existing systems, Mercalis helps businesses optimize their operations and reduce costs. The platform is designed for various industries, allowing for flexibility and adaptability to meet specific needs.

📋 Description

• Solve complex patient access issues by working across the Hub, provider offices and communicating with client field team. • Partner with client’s Sales Team, Payer Teams, Marketing, HCPs, and their Specialty Pharmacies to create and drive strategic reimbursement support. • Educate HCP and Office Staff on Patient Support Programs. • Guide healthcare providers through the prior authorization and appeals process. • Review appropriate billing and coding for products, assist with resolving reimbursement issues. • Coordinate with client’s patient support services programs representatives on patient cases and claim issues. • Conduct policy surveillance across regional payers to ensure appropriate coding, coverage, and payment of client’s products.

🎯 Requirements

• Associate's degree or higher in a related field or equivalent market experience • 3+ in Pharma/Healthcare industry; working with specialty products, Hubs, Payers, HCP or related area • Must have specific practice management, billing and/or coding experience for drugs, biologicals, or devices. • Must have general payer policy knowledge including public and private payers • Ability to conduct virtual and field-based reimbursement support and education • Experience with Prior Authorizations, reimbursement billing, coding, and appeals process.

🏖️ Benefits

• Opportunities for creativity, growth, and success • Diversity-driven organization • Inclusive approach to delivering patient-centric solutions