Field Reimbursement Specialist
: Job Details :

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.

Minimum Qualifications & Education:

• Bachelor's degree required.
• 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.
• 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.

The annual base salary for this position ranges from $135,000 to $145,000. The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include a company car or car allowance and eligibility to earn commissions/bonus based on company and/or individual performance.

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.

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.