Remote Field Reimbursement Expert

Harrow, Inc.; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health benefits

Job summary

Harrow, Inc. in the United States is seeking a Field Reimbursement Manager to serve as the in-market reimbursement expert for Harrow’s Retina and Surgical portfolios. You will educate practices on coverage, billing, and claims, enabling appropriate access to Harrow therapies.

You will build trusted relationships with practice staff, analyze denial trends, and partner with Sales to align on account priorities while ensuring compliant, high-quality customer support.

Qualifications

• 7+ years in healthcare field, reimbursement, brand management, and/or sales experience.
• Bachelor’s degree preferred, or equivalent work experience.
• Buy-and-bill experience required.
• Minimum 2 years of Field Reimbursement experience required.
• Eye care and private equity experience preferred.
• HCPCS Level II (J-code) and Transitional Pass-Through reimbursement experience preferred.
• Experience with benefit verifications, prior authorizations, claim assistance, and appeals.
• Payer coverage experience with Medicare, Medicare Advantage, Commercial, and Medicaid.

Responsibilities

• Serve as the primary field contact for practice administrators, billing/coding staff, and clinical staff on reimbursement matters related to Harrow buy-and-bill brands.
• Provide non-promotional education on payer coverage policy, medical benefit billing/coding (HCPCS/CPT/J-codes, ICD-10, modifiers), prior authorization requirements, and claims submission best practices.
• Support practices through the prior authorization and appeals process by educating staff on payer-specific requirements and documentation needs.
• Educate practices on available support programs, including patient assistance, product replacement, and sample programs, and coordinate warm handoffs to the HUB as needed.
• Build and maintain trusted relationships with key accounts within an assigned territory.
• Conduct regular, structured business reviews with accounts to assess reimbursement performance, identify denial trends, and develop action plans to resolve barriers.
• Proactively identify at-risk accounts and develop targeted intervention plans.
• Partner with Sales to align on account priorities and ensure a coordinated, compliant approach to customer support.
• Conduct account-level claims analysis to identify denial patterns, coding errors, or payer-specific barriers, and translate findings into clear, actionable guidance for the practice.
• Maintain current knowledge of payer policies relevant to assigned brands and territory.
• Escalate systemic or complex payer issues to leadership with data and recommendations.
• Collaborate with HUB and Patient Services to ensure seamless coordination on benefit verification, PA/appeals support, and patient assistance.
• Provide regular field intelligence and account-level insights to leadership to inform national strategy and payer engagement.
• Maintain accurate documentation of account activity, business reviews, and issue resolution in CRM systems.
• Represent Harrow professionally and compliantly at all times, adhering to laws and company policies.

Skills

Field reimbursement

Account management

Sales experience

Payer analysis

CRM reporting

Education

Bachelor’s degree or equivalent

Tools

HCPCS Level II (J-code) experience

Job description

Harrow, Inc. in the United States is seeking a Field Reimbursement Manager to serve as the in-market reimbursement expert for Harrow’s Retina and Surgical portfolios. You will educate practices on coverage, billing, and claims, enabling appropriate access to Harrow therapies.

You will build trusted relationships with practice staff, analyze denial trends, and partner with Sales to align on account priorities while ensuring compliant, high-quality customer support.