Field Reimbursement Manager-Ophthalmology – Minnesota, Wisconsin
Core
Front-line manager supporting physician offices throughout the reimbursement cycle to ensure patient access and resolve billing/coding issues.
Role type
Field Reimbursement Manager
Builds
Patient access to care and reimbursement confidence for Regeneron ophthalmology products
Domain
Biopharmaceuticals / Healthcare Reimbursement
Deliverable
client delivery
Required skills
Healthcare coverage and coding expertise, Medicare/Medicaid payer initiatives, CPT/HCPCS/ICD-10/DRG knowledge, claim form troubleshooting (UB-04/CMS-1500), regulatory policy analysis, account plan development, stakeholder relationship management
Preferred skills
Experience in physician office, hospital, HOPD, or ASC settings
Technologies
UB-04, CMS-1500, Explanation of Benefits, Prior Authorization forms, Super bills
Responsibilities
Develop and execute account plans to build reimbursement confidence, educate accounts on support services, collaborate with Regional Directors and Medical Specialists, guide healthcare professionals in resolving reimbursement barriers, anticipate market changes and customer needs, update customers on payer trends and policy changes
Seniority
Mid-Senior, hands-on IC
