Field Reimbursement Manager-South Central

Scorpion Therapeutics

United States

Remote

USD 90,000 - 120,000

Full time

14 days+
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Job summary

Scorpion Therapeutics is seeking a Field Reimbursement Manager to support physician practices across Oklahoma, Texas and Kansas. You will enhance patient access by delivering in-market reimbursement expertise, education and account management with a remote-first setup and up to 80% travel.

Responsibilities include serving as the primary contact for coverage, billing, coding and prior authorizations; building relationships; and collaborating with HUB and leadership to resolve systemic issues.

Qualifications

  • 7+ years in healthcare reimbursement, sales or brand management.
  • Experience with benefit verification, prior authorization, claims and appeals.
  • Knowledge of Medicare/Medicaid and commercial payer policies.

Responsibilities

  • Serve as primary contact for practice staff on coverage, billing, coding, prior authorizations and claims.
  • Build and maintain relationships through regular business reviews.
  • Analyze denial patterns and payer policies.
  • Collaborate with HUB and leadership to resolve systemic issues.
  • Ensure compliant, accurate documentation.

Skills

Reimbursement strategy
Field reimbursement
Buy-and-bill familiarity
Prior authorizations
Payer policy analysis
Claims analysis

Education

Bachelor's degree or equivalent

Job description

Field Reimbursement Manager

Role: Field Reimbursement Manager to support physician practices using Harrow's buy-and-bill drug products in Retina and Surgical areas across OK, TX, and KS. Objectives: enhance patient access by providing in-market reimbursement expertise, education, and account management.

Responsibilities:
  • serve as primary contact for practice staff on coverage, billing, coding (HCPCS, CPT, ICD-10), prior authorizations, and claims
  • build and maintain relationships through regular business reviews
  • analyze denial patterns and payer policies
  • collaborate with HUB and leadership to resolve systemic issues
  • and ensure compliant, accurate documentation.
Requirements:
  • 7+ years in healthcare reimbursement, sales, or brand management
  • minimum 2 years field reimbursement experience
  • buy-and-bill familiarity
  • bachelor's degree or equivalent
  • experience with benefit verification, prior authorization, claims, appeals
  • payer coverage expertise (Medicare, Medicaid, commercial)
  • proficiency in claims analysis.
Preferred:
  • eye care, private equity, HCPCS Level II, transitional pass-through reimbursement, healthcare credentialing/certification, and experience with Medicare Advantage.
Work setup:

remote with up to 80% travel.

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