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The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive knowledge of insurance coverage, patient assistance programs, and the local reimbursement landscape to provide support to Healthcare Professional's offices and their patients to obtain appropriate access to Bausch + Lomb's products.
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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client's product. The Field Reimbursement Manager will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, including acting as an extension of patient support program and in other collaboration with other partners.
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The Reimbursement Manager 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), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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Support patient access assistance from prescriber decision through to fulfillment, supporting the entire Reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
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Must have general payer policy knowledge including public & private payers, foundational knowledge of benefit verifications & prior authorization/pre-determination requirements (including appeals/exceptions), & knowledge of access & reimbursement processes within various sites of care.
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Keywords: MDS, pdpm, mds 3.0, registered nurse, rn, mds coordinator, regional director of clinical reimbursement, regional mds nurse, rn, registered nurse, RN, MDS, mds coordinator, rai, resident assessment coordinator.
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Do you have previous MDS Coordinator or Regional Director of MDS/Reimbursement experience and want to take your skills to educate, grow, and lead? We're seeking an enthusiastic and driven individual to join our team as a Regional Reimbursement Specialist (Regional MDS Director.
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Provide in-person or virtual one-on-one support to address questions about coding, coverage, reimbursement, and patient support requirements. Responsibilities include ensuring understanding and communicating Reimbursement, access, and program support program as it relates to the product.
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Comfortable working and communicating NCCN guidance including covering category 2B off-label recommendations for determination of Medicare reimbursement eligibility. 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.
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Field Reimbursement Managers 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 support programs offered by our client.
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Provide information on relevant Reimbursement topics related to the client product. Minimum 2 years covering reimbursement. Knowledge of CMS policies, commercial insurers, managed care, government and federal payer sectors, IDNs, and IHS required.
$155,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Market Access Field Reimbursement Manager (FRM) - Western Region will proactively engage with the ADMA field force to provide education and support to providers and their offices/staff on ADMA HUB Patient Support Program and services, current national and regional payor coverage, and payor policy for regionally and nationally based customers.
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The Field Reimbursement Manager (FRM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting ViiVs long acting injectables in key accounts. The Strategic Field Reimbursement Manager will prioritize Key National Strategic Accounts/IDNs, ensuring their implementation needs for ViiV Long Acting Injectables are realized.
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Key focus of the Recovery Reimbursement Analyst is reimbursement analysis, payment resolution with timely follow up on all assigned accounts, appropriate account adjustment and comprehensive documentation in the applicable hospital systems.
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ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
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Title: reimbursement Company: Anthem
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