Field Reimbursement Manager East Region – Market Access
Remote
The PDx business is the number one global supplier of contrast media and molecular imaging agents used to enhance medical imaging exams for major disease area diagnostic and treatment pathways. PDx products support three patients every second around the world.
This position is field-based and will cover the East region with travel up to 25% required. This position will report to the Director of Patient Services.Job Description
Roles and Responsibilities
· Will be subject matter expert on all reimbursement support programs, payer claim processes, and access issue resolution.
· Develop & perform On-boarding & In-service presentations (in-person and virtual) with new and existing customer accounts.
· Responsible for proactive customer (prescribers, office staff, imagers, etc.) education about the PDx portfolio’s Payer Coverage policies, reimbursement processes, patient services, and benefit investigation.
· Primary point of contact responsible for resolving general and patient specific access and reimbursement challenges by leveraging the required internal and external resources.
· Develop Access & Reimbursement tools and Guides and disseminate approved content related to product coverage, claims processing, prior authorizations, and appeals.
· Maintain ongoing communication with the Market Access Account Executives and Sales to provide field intelligence and prioritize key accounts regarding account interactions.
· Attend conferences to promote GEHC’s Patient Support Services.
Required Qualifications
· Bachelor’s degree
· Minimum of 5 years’ experience in the US healthcare medical device, or pharmaceutical sector.
· Minimum of 3 years’ US FRM experience
· Knowledge of and experience with medical benefit reimbursement and payment mechanisms including medical coding, claims and billing processes.
· Comprehensive knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage/ reimbursement dynamics.
· Familiarity with provider office and hospital outpatient department …
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Benefits/Perks401(k) Plan Accident Insurance Challenging careers Competitive benefits package Competitive compensation Dental Life, disability, and accident insurance Medical Medical, Dental, Vision Paid Time Off Professional development Tuition reimbursement Vision
Tasks- Attend conferences
- Collaboration
- Documentation
- Integration
- Issue resolution
Claims processing Collaboration Communication CRM Customer Education Documentation Excel Healthcare Regulations Integration Issue Resolution Market Access Medical Coding Medical Imaging PowerPoint Presentation Process Sales Service Word
Experience5 years
Education TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9