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Field Reimbursement Manager, Immunology Position Summary: The Field Access & Reimbursement environment for specialty biologics has proven to be highly challenging for HCPs and Patients. requires dedicated and focused customer facing support through the Reimbursement Management Team. The Field Reimbursement Manager is a critical front-line member of the Regeneron Commercial and Field Reimbursement Management team.
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Access & Reimbursement Manager, CV is a remote/field-based role that covers the following states but not limited to Bethesda MD, Arlington VA, Richmond VA, Hampton VA, Chesapeake VA, Virginia Beach VA. Candidate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory border.
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The Field Reimbursement Management reports to the District Manager of Field Market Access. Support the company and divisional reimbursement strategy for Regeneron products within various payer segments.
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Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, Appeals, detailed Clinical Documentation, Peer to Peer reviews etc. The RBM position requires the ability to successfully navigate across multiple internal stakeholders, sales teams, Payer teams, Alliance partners, HUBs, etc.
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Ensuring optimal access, effective pull-through, and understanding of access services and program support as it relates to the Regeneron product portfolio. Essential Duties/Responsibilities : Work cross-functionally and collaboratively with Regeneron and Alliance sales organizations (Sales Directors and Medical Specialists) to act as a process and payer subject matter expert, in efforts to support the healthcare provider segment.
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Access & Reimbursement Manager, CV is a remote/field-based role that covers the following states but not limited to Augusta GA, Athens GA, Gainesville GA, Lawrenceville GA, Rome GA. Candidate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory border.
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An understanding of healthcare financial accounting and reimbursement, including but not limited to S10 reporting, cost report preparation, wage index filing, DSH, Medicare bad debts, etc. This person will be responsible for developing deep specialization in hospital reimbursement for related customer service delivery but participate in and be excited about the application of technology and differential solutions to solve hospital reimbursement challenges and needs.
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One year of required experience with insurance reimbursement for procedures/tests. Castle Biosciences Inc. is growing, and we are looking to hire a Pre-Billing Prior Authorization Specialist working from our Friendswood, TX office location, with a preferred start date of April 16, 2024.
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Summary: This Reimbursement Specialist will support Atos Medical Management by providing excellent customer service to our patients through the billing reimbursement cycle. We are seeking a Medical Reimbursement Specialist to join our team.
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Recommends policies and procedures for reimbursement functions including estimating, modeling and reimbursement functions, which includes Medicare, Medicaid or other third party cost reports, related audits, appeals, disproportionate share hospital (DSH) programs, drug discount programs (340B) and CPT/HCPS code changes.
$27.5 - $44 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Experience in health care related to claim editing, groupers, provider reimbursement and methodologies (MS/APR DRG; APC, EAPG, CPT/HCPCS) industry standard coding and payment rules. The Senior Reimbursement Analyst provides critical analytical and reimbursement related guidance and support to all operating segments across the Sanford Health enterprise.
$27.5 - $44 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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NYC Health + Hospitals is the largest public health care system in the United States.
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Collaborate with aligned cross-functional associates within NPC (see above) to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement; Interface with Patient Support Center (hub) and Access & Reimbursement Managers on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education.
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Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail) Proclinical Staffing is seeking an Associate Director, Access & Reimbursement - Oncology to join a global pharmaceutical organization.
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Associate Director, Access & Reimbursement (Oncology) - Permanent - Remote. Expertise in therapeutic area practice dynamics and common reimbursement and product program support-related needs.
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Title: reimbursement Company: Health Partners Plans
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