Field Reimbursement Manager
Regeneron Pharmaceuticals
Summary
The Field Reimbursement Manager is a critical front-line member of the Regeneron Ophthalmology Field team. You will use your expertise and knowledge with all Regeneron customers, both internal and external. In this role, you will support physician offices throughout all facets of the reimbursement cycle and work to ensure the lines of communication remain open for existing and future Regeneron products.
Job description
When & where
- Location: Missouri & Oklahoma
- Work model: Field Role
- Travel percentage: Candidate must reside within assigned territory and have ability to travel 50%-70% of the time.
Discover your role
- Develop and complete 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 apply basket of company approved access materials to support reimbursement confidence.
This role requires
- Bachelor's degree from a four-year college or university.
- 5-8 years' pharmaceutical/biotech/device experience, including minimum of 3-5 years healthcare coverage, coding and/or reimbursement experience.
- 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 delivering Medicare, Medicaid, and other payer initiatives.
- We expect you to be 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.
- Candidate must reside within assigned territory and have ability to travel 50%-70% of the time.
Requirements
- Bachelor's degree from a four-year college or university
- 5-8 years' pharmaceutical/biotech/device experience
- Minimum of 3-5 years healthcare coverage, coding and/or reimbursement experience
- Experience working with billing and medical claims personnel in various health care settings (physician office, hospital, HOPD or ASC)
- Expertise supporting healthcare provider offices with coding, billing, and submissions across payer environments
- Well versed with implementing and delivering Medicare, Medicaid, and other payer initiatives
- Familiarity with CPT, HCPCS, ICD-10, revenue codes and DRG
- Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms
- Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies
- Must reside within assigned territory
- Ability to travel 50%-70% of the time
Benefits
- Annual bonuses
- Incentive plans
- Equity awards
- Pension or retirement benefits
- 401(k) company match
- Health and wellness programs
- Fitness centers
- Insurance benefits
- Paid time off
- Family support benefits
Company overview
Regeneron Pharmaceuticals is a leading American biotechnology company founded in 1988 and headquartered in Tarrytown, New York. The company specializes in inventing, developing, and commercializing life-transforming medicines for people with serious diseases. Regeneron is renowned for its innovative antibody technologies and has developed several groundbreaking therapies, including EYLEA® for retinal diseases, DUPIXENT® for inflammatory conditions, and the COVID-19 antibody cocktail REGEN-COV®. The company operates with a strong focus on research and development across multiple therapeutic areas including ophthalmology, oncology, cardiovascular diseases, and rare genetic disorders. Regeneron's proprietary VelocImmune® technology platform enables the rapid generation of fully human monoclonal antibodies. With over 15,000 employees globally and annual revenues exceeding $14 billion, Regeneron has established itself as a major force in the biotechnology industry, consistently ranking among the top-performing pharmaceutical companies and maintaining a robust pipeline of investigational therapies.