Reimbursement Business Manager
Company: Regeneron Pharmaceuticals
Location: Raleigh
Posted on: January 26, 2023
Job Description:
In this role, a typical day might include the following:The
Reimbursement Business Manager is a critical front-line member of
the Regeneron EYLEA Field team. You will use your expertise and
knowledge with all Regeneron customers, both internal and external.
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 approaches to account issues and
management!This role might be for you if you:
- Develop and implement account plans that build reimbursement
confidence with customers (e.g. MD and staff) & support continued
patient access to EYLEA.
- Proactively educate accounts on EYLEA4U support services and
work with leadership to monitor and track the impact of EYLEA4U and
its interaction/services offered to providers.
- Establish relationships within targeted physician offices to
assist with resolving payer coverage issues that may be barriers to
Alliance product access that aligns with Regeneron policies,
processes, and standard operating procedures
- Guide healthcare professionals in resolving reimbursement
issues or barriers in a manner that follows Regeneron policies and
processes.
- You can anticipate and efficiently resolve challenges, mitigate
risks, and forge consensus among diverse parties
- 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.
MDs, Administrators & office staff).
- Proactively update customers regarding reimbursement
requirements, payer trends, and payer policy changes and use a
basket of company approved access materials to support EYLEA
reimbursement confidence.To be considered for this role you must
hold a 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.
Proficient with implementing Medicare, Medicaid, and other payer
initiatives. We expect you to be familiar with CPT, HCPCS, ICD-9,
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.Does this sound like you?
Apply now to take your first steps toward living the Regeneron Way!
We have an inclusive and diverse culture that provides
comprehensive benefits including health and wellness programs,
fitness centers and equity awards, annual bonuses, and paid time
off for eligible employees at all levels!Does this sound like you?
Apply now to take your first steps toward living the Regeneron Way!
We have an inclusive and diverse culture that provides
comprehensive benefits including health and wellness programs,
fitness centers and 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. We will ensure that individuals with disabilities are
provided reasonable accommodations to participate in the job
application process. Please contact us to discuss any
accommodations you think you may need.The salary ranges provided
are shown in accordance with U.S. law and apply to U.S. based
positions, where the hired candidate will be located in the U.S. If
you are outside the U.S, please speak with your recruiter about
salaries and benefits in your location.Salary Range
(annually)$156,000.00 - $197,600.00
Keywords: Regeneron Pharmaceuticals, Raleigh , Reimbursement Business Manager, Executive , Raleigh, North Carolina
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