Remote Field Reimbursement Manager - Eye Care Access

Harrow, Inc.; New England (GA); On-site; USD 95,000 - 140,000; Full time

Job summary

Harrow, Inc. is seeking a Field Reimbursement Manager to serve as the reimbursement expert for physician practices using Harrow's buy-and-bill portfolio across Retina and Surgical franchises.

You will educate on coverage, coding, billing, and claims, helping practices access reimbursement for Harrow brands. The ideal candidate builds strong relationships with practice staff, solves access barriers, and thrives in a fast-paced, accountable team focused on expanding patient access to Harrow

Qualifications

• 7+ years of proven success in the healthcare-related field, reimbursement, brand management, and/or sales experience.
• Buy-and-bill experience required.
• Minimum 2 years of Field Reimbursement experience required.
• Healthcare credentialing and/or certification preferred.
• Eye care experience preferred.
• 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 plans.
• Experience in conducting claims analysis and conducting regular QBRs with accounts.

Responsibilities

• Serve as the primary field point of 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 (Medicare, Medicare Advantage, Commercial, Medicaid) relevant to assigned brands and territory.
• Escalate systemic payer issues to National Sr. Director with data and recommendations.
• Coordinate with HUB and Patient Services for verification, PA/appeals support, and patient assistance.
• Provide regular field intelligence and account-level insights to leadership to inform national strategy.

Skills

Field reimbursement experience

Account management

Analytical skills

Healthcare sales experience

Education

Bachelor's degree preferred

Tools

HCPCS/J-codes familiarity

Job description

Harrow, Inc. is seeking a Field Reimbursement Manager to serve as the reimbursement expert for physician practices using Harrow's buy-and-bill portfolio across Retina and Surgical franchises.

You will educate on coverage, coding, billing, and claims, helping practices access reimbursement for Harrow brands. The ideal candidate builds strong relationships with practice staff, solves access barriers, and thrives in a fast-paced, accountable team focused on expanding patient access to Harrow