Reimbursement Business Manager
Core
Front-line manager supporting physician offices throughout the reimbursement cycle to ensure patient access and resolve coverage/coding issues for Regeneron ophthalmology products.
Role type
Senior field reimbursement manager (pharmaceuticals)
Builds
Patient access to care and reimbursement confidence for Regeneron products
Domain
Healthcare / Pharmaceuticals / Reimbursement & Billing
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 colleagues to guide coverage/coding, resolve reimbursement barriers per company policy, anticipate market changes, manage product concerns, update customers on payer trends and policy changes
Seniority
Senior, hands-on IC