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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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Working with consultants and/or third-party platforms, responsible for the preparation and completion of the Medicare Bad Debt and DSH Log which is an instrumental pass-thru reimbursement component of the Medicare cost report.
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Broad understanding in patient services, market access, buy and bill, specialty pharmacy, reimbursement and/or medical calling on HCPs with respect to a sophisticated product or reimbursement pathway.
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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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Access & Reimbursement Manager, CV is a remote/field-based role that covers the following states but not limited to Flushing NY, Bushwick NY, Rockaway Park NY, Bayside NY, Flatbush, NY. Candidate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory border.
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As Intercept continues to build its position as the leader in rare and serious liver disease, we are seeking a Field Reimbursement Manager (FRM). Knowledge and understanding of specialty markets, HUB/Reimbursement experience required.
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The position reports to the Senior Director, National Access Management, West, or the Director, Access & Reimbursement, East. 5 years of Market Access/Sales experience; experience in Marketing, Market Access, Commercial Operations or Sales/Sales Training preferred, with a minimum of 2 years as an FRM or RAM working specifically with PBM medications.
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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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The Reimbursement Analyst carries out his/her duties by adhering to the highest standards of ethical and moral conduct acts in the best interest of Dignity Health and fully supports Dignity Health's Mission Philosophy and core values of Collaboration Dignity Excellence Justice and Stewardship.
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Job Description :Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual position; the ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
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The Revenue Cycle Reimbursement Specialist provides Revenue Cycle Management/Medical Billing services for Azalea clients and operates under the direct supervision of the Revenue Cycle Reimbursement Team Lead.
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Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.
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The Field Reimbursement Manager is to be the subject matter expert on reimbursement and coverage issues affecting Pfizer products in their assigned regions and to use that expertise to facilitate appropriate patient access to a prescribed Pfizer product.
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Title: reimbursement manager Company: Novartis Pharmaceuticals
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