Syneos Health
Updated:
October 21, 2025 Location:
Columbia, SC, United States Job ID: 12163
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 or a minimum of three years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales, or a minimum of six years of 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.
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.
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled).
Syneos Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, marital status, ethnicity, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability or any other legally protected status and will not be discriminated against.
Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
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October 21, 2025 Location:
Columbia, SC, United States Job ID: 12163
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 or a minimum of three years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales, or a minimum of six years of 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.
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.
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled).
Syneos Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, marital status, ethnicity, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability or any other legally protected status and will not be discriminated against.
Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
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