Field Reimbursement Manager

Regeneron Healthcare Solutions, Inc (USA); United States; Remote; USD 169,000 - 214,000; Full time

Benefits offered by this job

Annual bonuses

Equity awards

Pension or retirement benefits

401(k) company match

Health and wellness programs

Fitness centers

Insurance benefits (medical, dental,视觉

Paid time off

Family support benefits

Job summary

Regeneron is seeking a Field Reimbursement Manager to support physician offices across reimbursement cycles and ensure patient access to Regeneron products. The role covers Missouri & Oklahoma with 50–70% travel and requires a 4-year degree plus 5–8 years of pharma/biotech/reimbursement experience.

You will develop account plans, educate accounts on coding and coverage, and collaborate with cross-functional teams to resolve billing issues while staying aligned with Regeneron policies.

Qualifications

• Bachelor's degree from a four-year college or university.
• 5-8 years' pharmaceutical/biotech/device experience with 3-5 years healthcare coverage.
• Experience working with billing and medical claims personnel in physician offices, hospitals, HOPD or ASC.
• Expertise in coding, billing, and submissions across payer environments.
• Familiarity with Medicare, Medicaid, and other payer initiatives.
• Knowledge of CPT, HCPCS, ICD-10, revenue codes and DRG.
• Familiarity with UB-04, CMS-1500, explanations of benefits, and related forms.
• Ability to analyze regulatory and legislative payer and healthcare policies.

Responsibilities

• Develop and complete account plans that build reimbursement confidence with customers (MDs and staff).
• Proactively educate accounts on support services to ensure patient access and monitor impact.
• Collaborate with Regeneron colleagues to educate physician offices on coverage/coding of Regeneron products and support patient access.
• Guide healthcare professionals in resolving reimbursement issues following Regeneron policies and processes.
• Anticipate and adapt to customer needs and market changes and challenges.
• Demonstrate proactive planning and time management to cover the RBM Territory effectively.
• Establish positive relationships with accounts and manage product concerns.
• Proactively update customers regarding reimbursement requirements, payer trends, and payer policy changes.

Skills

Payer policies

Billing & claims

Provider education

CPT/HCPCS coding

Medicare/Medicaid knowledge

Education

Bachelor's degree

Job description

Build our future together: The Field Reimbursement 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.

When & where

Location: Missouri & Oklahoma

Work model: Field Role

Travel percentage: Candidate must reside within assigned territory and have ability to travel 50%-70% of the time.

Discover your role

• Develop and complete account plans that build reimbursement confidence with customers (e.g. 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 (ex. 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 customer’s 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 (e.g. MD’s, Administrators & office staff) and effectively manage product concerns.
• Proactively update customers regarding reimbursement requirements, payer trends, and payer policy changes and apply basket of company approved access materials to support reimbursement confidence.
• Candidate must reside within assigned territory and have ability to travel 50%-70% of the time.

This role requires

• 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.
• Well versed with implementing and delivering 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.
• 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?

Benefits

• annual bonuses or other incentive plans
• equity awards
• pension or retirement benefits
• 401(k) company match
• health and wellness programs
• fitness centers
• insurance benefits (e.g. medical, dental, vision, life and disability)
• paid time off
• family support benefits

Regeneron offers a competitive and comprehensive total rewards package which may include, depending on country and role:

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, sexual orientation, gender identity or expression, gender reassignment, marital or civil partnership status, civil status, pregnancy or parental status, age, disability, nationality, citizenship status, ethnic or national origin, membership of the Traveler community, familial status, genetic information, military or veteran status, or any other characteristic protected under applicable law.

Where required, we will provide reasonable accommodation to applicants with known disabilities or chronic illnesses during the recruitment process, unless such accommodation would impose undue hardship.

Where necessary we disclose salary ranges for roles in all countries in which we operate. The final offer will be determined within the relevant range based on the country of employment, specific role level, and your skills and experience. In some countries, collective bargaining agreements (CBAs) may apply and influence certain elements of pay or benefits.

Salary Range (annually) $169,000.00 - $213,800.00

Regeneron is a leading biotechnology company that invents life-transforming medicines for people with serious diseases. Founded and led for over 30 years by physician-scientists, our unique ability to repeatedly and consistently translate science into medicine has led to nine FDA-approved treatments and numerous product candidates in development, almost all of which were homegrown in our laboratories.

Regeneron’s medicines and pipeline are designed to help patients with eye diseases, allergic and inflammatory diseases, cancer, cardiovascular and metabolic diseases, neurology, infectious diseases and rare diseases. Regeneron is also proud of award winning culture of innovation, being recognized as a Great Place to Work in 2021, Fast Company’s Best Workplace for Innovators in 2020, and Forbes JUST companies in 2020, among others.

If you have any questions, please speak with your recruiter.