Reimbursement Business Manager, Ophthalmology - Indiana, Cincinnati, OH
Reimbursement Business Manager, Ophthalmology - Indiana, Cincinnati, OH
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$ 163100 - 206500
1 Vacancy
Job Description
Reimbursement Business Manager (RBM) Ophthalmology Indiana Cincinnati OH
The Reimbursement Business 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. We always do what is right and seek to fully understand provider business drivers to help develop compliant approaches to account issues and management.
A Typical Day Might Look Like This:
Develop and execute account plans that build reimbursement confidence with customers (i.e. 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 (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 customers 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 (i.e. MDs Administrators & office staff) and effectively manage product concerns.
Proactively update customers regarding reimbursement requirements payer trends and payer policy changes and utilize basket of company approved access materials to support reimbursement confidence.
This role may be a fit for you if you:
Biologic market expertise (B&B/SP)
Reimbursement expertise or aptitude to learn
Ability to work across key/multiple stakeholders and build strong partnerships
Presentation skills: Ability to develop and deliver simple concise messages tailored to the audience of all sizes
Is dedicated to meeting the expectations and requirements of both internal and external customers
To be considered for this role we expect you to have a Bachelors degree and 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 executing 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. Candidate must reside within assigned territory and have ability to travel 50%-70% of the time.
Does this sound like you Apply now to take your first step towards living the Regeneron Way! We have an inclusive and diverse culture that provides comprehensive benefits which often include (depending on location) health and wellness programs fitness centers equity awards annual bonuses and paid time off for eligible employees at all levels!
Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion or belief (or lack thereof) sex nationality national or ethnic origin civil status age citizenship status membership of the Traveler community sexual orientation disability genetic information familial status marital or registered civil partnership status pregnancy or parental status gender identity gender reassignment military or veteran status or any other protected characteristic in accordance with applicable laws and regulations. The Company will also provide reasonable accommodation to the known disabilities or chronic illnesses of an otherwise qualified applicant for employment unless the accommodation would impose undue hardship on the operation of the Companys business.
For roles in which the hired candidate will be working in the U.S. the salary ranges provided are shown in accordance with U.S. law and apply to U.S.-based positions. For roles which will be based in Japan and/or Canada the salary ranges are shown in accordance with the applicable local law and currency. If you are outside the U.S Japan or Canada please speak with your recruiter about salaries and benefits in your location.
Please note that certain background checks will form part of the recruitment process. Background checks will be conducted in accordance with the law of the country where the position is based including the type of background checks conducted. The purpose of carrying out such checks is for Regeneron to verify certain information regarding a candidate prior to the commencement of employment such as identity right to work educational qualifications etc.
Salary Range (annually)
Required Experience:
Manager
Employment Type
Full-Time
