Mercalis is an integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. As a Field Reimbursement Manager (FRM), you will help eliminate barriers for patients to help increase their access to medications while working in an environment of collaboration.
Requirements
- Solve complex patient access issues by working across the Hub, provider offices and communicating with client field team.
- Partner with Sales Team, Marketing, HCP, Specialty Pharmacies to create and drive strategic reimbursement support approaches, resulting in increased access to therapy for individual patients.
- Educate HCP and Office Staff on Patient Support Programs, per program specific operating policies and patient journey.
- Review patient benefit options, prior authorization requirements, and alternate funding/financial assistance programs.
- Review appropriate billing and coding for products, assist with resolving reimbursement issues, and help ensure appropriate education to avoid future reimbursement hurdles.
- Coordinate with client’s patient support services programs representatives on patient cases and claim issues.
- Educate office staff on the use of client’s patient assistance and reimbursement support services, including but not limited to web-based provider programs and tools, and provide information on relevant reimbursement topics related to client’s products.
- Conduct policy surveillance across regional payers to ensure appropriate coding, coverage, and payment of client’s products.
- Assist providers with understanding local payer coverage and reimbursement trends through educational breakfast, lunch, and dinner programs.
- Lead sales training related to product reimbursement, as appropriate.
- Communicate reimbursement concerns and issues with appropriate internal stakeholders, including Sales and Managed Markets.
- Understand and monitor national and regional payer trends and changes.
- Work collaboratively with Managed Markets team to escalate potential payer issues.
- Operate in Compliance with HIPAA within program guidelines.
- On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data
- Ensure all SOPs are followed with consistency
- Conducts miscellaneous tasks or projects as assigned
Benefits
- 401k Matching
- Health Insurance
- Generous Paid Time Off
- Health Savings Account
- Relocation Assistance
