Field Reimbursement Manager

Mercalis is seeking a Field Reimbursement Manager to help eliminate barriers for patients and increase their access to medications. The FRM will work across the Hub, provider offices, and with client field team to resolve patient access issues, educate healthcare providers on billing and coding, and provide educational services within relevant sites of care.

Requirements

• Solve complex patient access issues
• Partner with Sales Team, Marketing, HCP, Specialty Pharmacies to create and drive strategic reimbursement support approaches
• Educate HCP and Office Staff on Patient Support Programs
• 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
• 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 programs
• Communicate reimbursement concerns and issues with appropriate internal stakeholders
• 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

• Generous Paid Time Off
• 401k Matching
• Retirement Plan