Field Reimbursement Manager-West

The role

The Field Reimbursement Manager provides non-promotional education on coverage, coding, billing, and claims processes for physician practices using buy-and-bill drug portfolios. This role focuses on expanding patient access to therapies by resolving access barriers at the account level.

What you will do

• Serve as the primary field point of contact for practice administrators, billing/coding staff, and clinical staff on reimbursement matters.
• Provide non-promotional education on payer coverage policy, medical benefit billing/coding, prior authorization requirements, and claims submission.
• Support practices through the prior authorization and appeals process.
• Educate practices on available support programs and coordinate handoffs to the HUB.
• Build and maintain trusted relationships with key accounts within an assigned territory.
• Conduct regular business reviews with accounts to assess reimbursement performance and identify denial trends.
• Identify at-risk accounts and develop targeted intervention plans.
• Partner with Sales to align on account priorities.
• Conduct account-level claims analysis to identify denial patterns or coding errors.
• Maintain knowledge of payer policies including commercial, Medicare, Medicare Advantage, and Medicaid.

Required qualifications

• 7+ years of proven success in the healthcare-related field, reimbursement, brand management, and/or sales experience.
• Buy-and-bill experience required.
• Minimum 2 years of Field Reimbursement experience required.
• Experience with benefit verifications, prior authorizations, claim assistance, and appeals.
• Payer coverage experience with Medicare (MACs), Medicare Advantage, Commercial, and Medicaid plans.
• Experience in conducting claims analysis and conducting regular QBRs with accounts.

Nice to have

• Bachelor’s degree
• Healthcare credentialing and/or certification
• Eye care experience
• Private equity experience
• HCPCS Level II (J-code) and Transitional Pass-Through reimbursement experience

About the company

Harrow is a leading provider of ophthalmic disease management solutions in North America. It is an entrepreneurial company focused on innovation and patient access to affordable medicines.