Field Reimbursement Leader – Access & Education

Valeris; Lexington (KY); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

HSA- and FSA-eligible options

401(k) Retirement Savings Plan with %

Company-paid life and AD&D coverage

Short-Term Disability; option to long‑

Paid Time Off and holidays

Job summary

Valeris is seeking a Field Reimbursement Manager (FRM) to join a team focused on removing barriers to patient access and educating healthcare providers on appropriate billing and coding for client therapies. You will collaborate with HUB, payer, and office staff to streamline prior authorizations and appeals, while supporting patient access initiatives across sites of care.

The FRM role emphasizes education, cross-functional collaboration, and compliance, with travel requirements up to 10% and a

Qualifications

• Associate degree or higher in a related field or equivalent market experience
• 3+ years in Pharma/Healthcare with specialty products, hubs, payers or related area
• Direct experience with specialty dermatology products (preferred)
• Must have specific practice management, billing and/or coding experience for drugs, biologicals, or devices.
• Must have general payer policy knowledge including public and private payers, foundational knowledge of medical benefit verifications and prior authorization/pre-determination requirements and knowledge of reimbursement processes within various sites of care.
• Demonstrated ability to conduct virtual and field-based reimbursement support and education
• Experience with Prior Authorizations, reimbursement billing, coding, and appeals process.
• Knowledge of commercial payer, Medicare and Medicaid structure, systems, and reimbursement process.
• Strong stakeholder engagement and communication skills

Responsibilities

• Solve patient access issues by coordinating across Hub, provider offices and client field teams.
• Educate providers offices on patient support programs, billing and coding requirements.
• Lead HCP offices in onsite education of program rules, payer coverage and J-codes.
• Guide providers through prior authorization and appeals processes with required documentation.
• Coordinate with patient support services representatives on patient cases and claim issues.
• Review billing and coding for products and assist in resolving reimbursement hurdles.
• Communicate reimbursement concerns with Sales and Managed Markets and monitor payer trends.
• Ensure HIPAA compliance and adherence to corporate policies and deadlines.

Skills

Stakeholder engagement

Communication skills

Billing & coding experience

Prior Authorization experience

Payer policy knowledge

Medicare/Medicaid knowledge

Education

Associate degree or higher in related field

Job description

Valeris is seeking a Field Reimbursement Manager (FRM) to join a team focused on removing barriers to patient access and educating healthcare providers on appropriate billing and coding for client therapies. You will collaborate with HUB, payer, and office staff to streamline prior authorizations and appeals, while supporting patient access initiatives across sites of care.

The FRM role emphasizes education, cross-functional collaboration, and compliance, with travel requirements up to 10% and a