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