Field Reimbursement Manager - Remote (Great Planes/Great Lakes)

Valeris

$90K — $110K *
US-AnywhereRemote in Morrisville, NC
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of experience in healthcare, reimbursement, or related field
  • Strong knowledge of medical billing, coding, and reimbursement processes
  • Familiarity with healthcare provider operations and patient access issues
  • Ability to educate and train internal and external stakeholders
  • Excellent communication and interpersonal skills
  • Proficiency in using office software and systems
  • Ability to navigate insurance verification and authorization processes

Responsibilities

  • Educate healthcare provider offices on billing and coding for client products
  • Resolve patient access issues and streamline the access process
  • Serve as a subject-matter expert on reimbursement and coverage concerns
  • Collaborate with office support and billing staff to facilitate solutions
  • Engage with third-party vendors to enhance patient access support
  • Provide educational services at relevant sites of care
  • Document and report on patient access challenges and resolutions

Benefits

  • Comprehensive medical, dental, and vision plans
  • Company contributions towards health insurance premiums
  • 401(k) plan with immediate vesting and company match
  • Paid time off and sick leave for work-life balance
  • Opportunities for professional development and advancement
  • Supportive resources like telehealth and Employee Assistance Program
  • Inclusive workplace culture that values diversity
Full Job Description
(Great Planes/Great Lakes)

Valeris is an integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Backed by proven industry expertise and results-driven technology, Valeris helps navigate the complex life sciences marketplace by providing commercialization solutions to accelerate value and enhance patient lives.

As a Field Reimbursement Manager (FRM), you will join our team on a journey to help eliminate barriers for patients to help increase their access to medications while working in an environment of collaboration. You will help resolve patient access issues, educate healthcare provider offices on appropriate billing and coding for client's products, and provide educational services within relevant sites of care. Additionally, the FRM role will work directly with office support staff, billing and coding staff, applicable third party vendors (HUB, Copay Card, Patient Assistance Program (PAP)), and other important stakeholders involved with supporting patient access to our client's therapies. The FRM will operate as the subject-matter expert on medical benefit reimbursement, access, and coverage issues including Prior Authorization and Appeals.

Physical Demands & Work Environment

  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
  • Although very minimal, flexibility to travel as needed is preferred.
  • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.


Why Work for Valeris?

We're committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:

  • Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
  • Additional health support, including telehealth and Employee Assistance Program (EAP) services
  • Company match on Health Savings Account contributions
  • Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
  • Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
  • 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
  • Paid Time Off (PTO) and Sick Leave to support work-life balance
  • Team members receive nine paid holidays plus two floating holidays
  • Opportunities for advancement in a company that supports personal and professional growth
  • A challenging, stimulating work environment that encourages new ideas
  • Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
  • A mission-driven, inclusive culture where your work makes a meaningful impact


Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.

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