Field Reimbursement Specialist
Syneos Health/ inVentiv Health Commercial LLC
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Syneos Health/ inVentiv Health Commercial LLC is hiring a Field Reimbursement Specialist. The Field Reimbursement Specialist at Syneos Health will manage defined accounts in a geographic region within the ophthalmic therapeutic area, supporting client products by guiding reimbursement processes, assisting physicians, and coordinating patient support services while ensuring accurate coding and billing.
Key focus areas include Manage defined accounts in a specified geographic region for ophthalmic products, Act as an extension of the product providing live one‑on‑one coverage support, and Assist from physician order through reimbursement, including prior authorization and appeals.
Important skills include Centers of Medicare & Medicaid Services (CMS), Medicare Part D, and Project Management Skills. Preferred (not required): Webbased Provider Programs, Coding And Billing, and Presentation Skills.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Experience Required
3 - 20 years
Minimum Education Required
Bachelor's Degree
Compensation
$7.25 / hourly
Hours Per Week
40
Number Of Positions
1
Work Schedule and Shift Requirements
First (Day)
Job Description
Description
The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the ophthalmic therapeutic area, specifically supporting our client's products.
The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of reimbursement process, field reimbursement services, and patient support program. The Reimbursement Specialist 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).
Field Reimbursement Specialists 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 assistance and reimbursement support services offered by our clients. Activities include, but are not limited to:
Act as an extension of the product providing live one-on-one coverage support.
Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
Reviewing patient-specific information in cases where the site has specifically requested the assistance in resolving any issues or coverage challenges.
Reviewing patient insurance benefit options.
Identifying alternate funding/financial assistance programs.
Coordinating with our client's patient support services programs representatives.
Educating physician office staff on the use of our client's patient assistance and call center support services, including webbased provider programs.
Provide information on relevant reimbursement topics related to our client's products.
Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner.
Provide office support in accurate coding and billing for the client's products.
Minimum Qualifications & Education:
Bachelor's degree or a minimum three years of experience in public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales or a minimum of 6 years biologic coordinator experience
Minimum two years' of access and reimbursement, managed care, and/or billing and coding support experience
Experience working with Buy and Bill products and a thorough understanding of the entire reimbursement process from script to injection required
Ophthalmic, retina specialists and biosimilar experience preferred
Experience establishing relationships within a practice by working closely to help remove reimbursement barriers to specialty products for their patients
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus
Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus
Ability to travel and cover large multistate geography territories, 50% travel required
Excellent presentation and project management skills
At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn't align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.
Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients' lives daily. 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. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.
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Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.
400003488
Job Type
Full time
Benefits Offered
Not specified
Veteran Preference
No
Place of Work
On-site
Requisition ID
17107-OTHLOC-C5RvYfw9
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