Field Reimbursement Specialist

Syneos Health; Cleveland (OH); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Health benefits

401k match

Flexible PTO

Paid sick time

Job summary

Syneos Health in Cleveland, OH is seeking a Field Reimbursement Specialist to manage defined ophthalmic accounts and support patient reimbursement from script to denial. You will execute regional strategic plans with HUB, sales, and market access partners to ensure accurate coding, billing, and payer communications.

This role requires a bachelor’s degree or 3+ years in third‑party access or pharmaceutical reimbursement, with 2+ years in access and billing.

Qualifications

• Bachelor’s degree or minimum three years in public/private third-party access or pharma in managed care, clinical support, and/or sales.
• Minimum two years of access and reimbursement, managed care, and/or billing and coding support experience.

Responsibilities

• Act as an extension of the product providing live one-on-one coverage support.
• Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
• Reviewing patient insurance benefit options and identifying alternate funding/financial assistance programs.
• Coordinate with patient support services representatives and educate physician office staff on reimbursement programs and payer processes.
• Provide information on reimbursement topics related to our products and serve as payer expert for defined geography.

Skills

Presentation skills

Project management

Education

Bachelor’s degree

Job description

Updated: September 2, 2026
Location: Cleveland, OH, United States
Job ID:17989

The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the ophthalmic therapeutic area, specifically supporting our client’s products.

The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of reimbursement process, field reimbursement services, and patient support program. The Reimbursement Specialist will also work on patient-level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI).

Field Reimbursement Specialists manage daily activities that support appropriate patient reimbursement to our client’s products in the provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients. Activities include, but are not limited to:

• Act as an extension of the product providing live one-on-one coverage support.
• Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
• Reviewing patient-specific information in cases where the site has specifically requested the assistance in resolving any issues or coverage challenges.
• Reviewing patient insurance benefit options.
• Identifying alternate funding/financial assistance programs.
• Coordinating with our client’s patient support services programs representatives.
• Educating physician office staff on the use of our client’s patient assistance and call center support services, including web-based provider programs.
• Provide information on relevant reimbursement topics related to our client’s products.
• Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner.
• Provide office support in accurate coding and billing for the client’s products.

Why Syneos Health?

Our ability to collaborate and problem-solve makes a difference in patients’ lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world.

Minimum Qualifications & Education:

• Bachelor’s degree or a minimum three years of experience in public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales or a minimum of 6 years biologic coordinator experience
• Minimum two years’ of access and reimbursement, managed care, and/or billing and coding support experience
• Experience working with Buy and Bill products and a thorough understanding of the entire reimbursement process from script to injection required
• Ophthalmic, retina specialists and biosimilar experience preferred
• Experience establishing relationships within a practice by working closely to help remove reimbursement barriers to specialty products for their patients
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus
• Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus
• Ability to travel and cover large multistate geography territories, 50% travel requiredExcellent presentation and project management skills

At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality‑of‑life balance.

Benefits

• competitive compensation package
• Health benefits to include Medical, Dental and Vision
• Company match 401k
• flexible paid time off (PTO) and sick time.
• Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work.
• Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.

Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)

Discover what our more than 25,000 employees already know: work here matterseverywhere. We work hard,and smart, all in the name of getting much‑needed therapies to thosewho need them most. A career with Syneos Health means your everyday workimprovespatients’ lives around the world. Selecting us as an employer secures acareer inwhich you’re guaranteed to:

Syneos Health® is a leading fully integrated biopharmaceutical solutions organization builtto accelerate customer success. We translate unique clinical, medical affairs and commercialinsights into outcomes to address modern market realities. To learn more visit syneoshealth.com .

Syneos Health is an Equal Opportunity Employer. All qualified applicants will receiveconsideration for employment without regard to race, color, age, religion, marital status,ethnicity, national origin, sex, gender, gender identity, sexual orientation, protectedveteran status, disability or any other legally protected status and will not bediscriminated against. If you are an individual with a disability who requires reasonableaccommodation to complete any part of our application process, including the use of thiswebsite, please contact us at: Email: [emailprotected] One of our staff members willwork with you to provide alternate means to submit your application.