Syneos Health Commercial Solutions
Field Reimbursement Specialist
Syneos Health Commercial Solutions, Columbia, South Carolina, us, 29228
Overview
Join to apply for the
Field Reimbursement Specialist
role at
Syneos Health Commercial Solutions . Location: Columbia, SC (references to nearby postings not required in the description body). 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 the reimbursement process, field reimbursement services, and patient support programs. The Reimbursement Specialist will also work on patient-level reimbursement issue resolution, and thus will need access to knowledge of and experience with patient health information (PHI).
Field Reimbursement Specialists manage daily activities that support appropriate patient reimbursement to our client’s products in 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.
Review patient-specific information in cases where the site has requested assistance in resolving any issues or coverage challenges.
Review patient insurance benefit options.
Identify 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.
Ophthalmic, retina specialists and biosimilar experience preferred.
Knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D is a plus.
Why Syneos Health
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. We also encourage you to join our Talent Network to stay connected to additional career opportunities. 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 navigate the complex reimbursement landscape. The diversification and breadth of our partnerships create a multitude of career paths and employment opportunities. Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world.
Benefits & Policies
Syneos Health values our people and provides a competitive compensation package and health benefits (medical, dental, and vision), 401(k) with company match, flexible paid time off (PTO) and sick time. Paid sick time eligibility varies by state or municipality. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements. Syneos Health is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled).
Syneos Health has a voluntary COVID-19 vaccination policy. Some local governments or customers may have vaccine requirements for certain employees, who must provide proof of vaccination and maintain compliance.
400003488
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Join to apply for the
Field Reimbursement Specialist
role at
Syneos Health Commercial Solutions . Location: Columbia, SC (references to nearby postings not required in the description body). 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 the reimbursement process, field reimbursement services, and patient support programs. The Reimbursement Specialist will also work on patient-level reimbursement issue resolution, and thus will need access to knowledge of and experience with patient health information (PHI).
Field Reimbursement Specialists manage daily activities that support appropriate patient reimbursement to our client’s products in 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.
Review patient-specific information in cases where the site has requested assistance in resolving any issues or coverage challenges.
Review patient insurance benefit options.
Identify 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.
Ophthalmic, retina specialists and biosimilar experience preferred.
Knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D is a plus.
Why Syneos Health
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. We also encourage you to join our Talent Network to stay connected to additional career opportunities. 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 navigate the complex reimbursement landscape. The diversification and breadth of our partnerships create a multitude of career paths and employment opportunities. Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world.
Benefits & Policies
Syneos Health values our people and provides a competitive compensation package and health benefits (medical, dental, and vision), 401(k) with company match, flexible paid time off (PTO) and sick time. Paid sick time eligibility varies by state or municipality. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements. Syneos Health is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled).
Syneos Health has a voluntary COVID-19 vaccination policy. Some local governments or customers may have vaccine requirements for certain employees, who must provide proof of vaccination and maintain compliance.
400003488
#J-18808-Ljbffr