Field Reimbursement Manager-Mountain West

Harrow; United States; On-site; USD 90,000 - 150,000; Full time

Job summary

Scorpion Therapeutics seeks a Field Reimbursement Manager to support Harrow's buy-and-bill drugs in Retina and Surgical areas across NM, CO, WY, NE, SD, and ND. The role focuses on improving patient access by providing reimbursement expertise to practice staff, serving as the primary contact for payer issues, and addressing denials with strategic interventions.

The position requires 7+ years in healthcare reimbursement, with at least 2 years in field reimbursement, plus HCPCS Level II

Qualifications

• 7+ years in healthcare reimbursement (minimum 7 years).
• At least 2 years of field reimbursement experience.
• Proficiency in HCPCS Level II codes and payer policies.
• Bachelor’s degree or equivalent.
• Healthcare credentialing preferred.

Responsibilities

• Serve as primary contact for reimbursement issues; educate on payer coverage, billing, coding, and prior authorization; support claims and appeals; build trusted account relationships, conduct business reviews, identify access barriers, and develop intervention plans; analyze claims data to identify denial patterns, escalate systemic payer issues, and collaborate with the HUB and leadership.

Skills

Field reimbursement

Payer policies

HCPCS Level II

Buy-and-bill

Staff education

Education

Bachelor's degree

Healthcare credentialing preferred

Job description

Role

Field Reimbursement Manager supporting Harrow's buy-and-bill drugs in Retina and Surgical areas across NM, CO, WY, NE, SD, and ND.

Objectives

Improve patient access by providing reimbursement expertise and education to practice staff.

Responsibilities

• serve as primary contact for reimbursement issues, educate on payer coverage, billing, coding, and prior authorization; support claims and appeals; build trusted account relationships, conduct business reviews, identify access barriers, and develop intervention plans; analyze claims data to identify denial patterns, escalation systemic payer issues, and collaborate with the HUB and leadership.

Requirements

• 7+ years in healthcare reimbursement, with at least 2 years of field reimbursement experience;
• buy-and-bill expertise;
• proficiency in HCPCS Level II codes, payer policies (Medicare, Medicaid, Commercial);
• bachelor’s degree or equivalent;
• healthcare credentialing preferred.

High-Value

Retina and Surgical therapeutic areas, buy-and-bill model, payer coverage expertise, claims analysis, and up to 80% travel.

Work Setup

remote.