Field Reimbursement Lead: Patient Access & Payor Strategy

Valeris; Indianapolis (IN); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical coverage

Dental & vision

HSA/FSA options

Life insurance

Disability coverage

401(k) match

PTO & holidays

Career growth

Job summary

Valeris in the United States is seeking a Field Reimbursement Manager to help remove barriers to patient access for therapies. The FRM will educate provider offices on billing and coding, support patient access programs, and work with HUB, payers, and clinicians to streamline prior authorization processes.

The role requires 3+ years in pharma/healthcare, familiarity with payer policies, and strong communication skills.

Qualifications

• Associate's degree or higher in a related field or equivalent experience.
• 3+ years in Pharma/Healthcare industry; working with specialty products, hubs, payers, HCP or related area.
• Preferred: direct experience with specialty dermatology products.
• Must have practice management, billing and/or coding experience for drugs, biologicals, or devices.
• Knowledge of public and private payer policies including prior authorization requirements.
• Demonstrated ability to conduct virtual and field-based reimbursement support and education.
• Experience with Prior Authorizations, reimbursement billing, coding, and appeals process.

Responsibilities

• Solve patient access issues by working with Hub, provider offices and client field team.
• Educate offices on Patient Support Programs, billing policies and payer requirements.
• Lead onsite education of program rules and payer coverage.
• Guide providers through prior authorization and appeals processes.
• Coordinate with patient support services on case and claim issues.
• Ensure HIPAA compliance in all reimbursement activities.
• Support reimbursement processes across relevant care sites.

Skills

Payer policy knowledge

Reimbursement education

Stakeholder engagement

Prior Authorizations

Education

Associate's degree or higher

Job description

Valeris in the United States is seeking a Field Reimbursement Manager to help remove barriers to patient access for therapies. The FRM will educate provider offices on billing and coding, support patient access programs, and work with HUB, payers, and clinicians to streamline prior authorization processes.

The role requires 3+ years in pharma/healthcare, familiarity with payer policies, and strong communication skills.