Field Reimbursement Manager-West
Harrow
August 14, 2026
Remote
United States
Market Access
Territory: CA, OR, WA, and ID
Position Summary:
Field Reimbursement Manager (FRM) serves as in-market reimbursement expert for physician practices using Harrow buy-and-bill drugs across Retina and Surgical franchises, providing compliant, non-promotional reimbursement education.
Core Responsibilities:
- Primary field contact for practice administrators, billing/coding, and clinical staff on reimbursement for Harrow buy-and-bill brands.
- Educate on payer coverage policy; medical benefit billing/coding (HCPCS/CPT/J-codes, ICD-10, modifiers); prior authorization requirements; and claims submission best practices.
- Support prior authorizations and appeals via payer-specific requirements and documentation guidance.
- Educate on support programs (patient assistance, product replacement, sample programs) and coordinate warm handoffs to HUB.
- Build trusted relationships; conduct regular structured business reviews to assess reimbursement performance, denial trends, and action plans.
- Identify at-risk accounts and develop targeted interventions; partner with Sales for coordinated, compliant support.
- Perform account-level claims analysis; maintain knowledge of commercial/Medicare/Medicare Advantage/Medicaid policies; escalate complex payer issues with supporting data.
- Coordinate with HUB/Patient Services on benefit verification, PA/appeals support, and patient assistance; provide field insights to leadership; maintain CRM documentation.
Qualifications & Requirements:
- 7+ years healthcare reimbursement/brand management/sales experience.
- Bachelor’s preferred (or equivalent).
- Buy-and-bill experience required.
- 2+ years Field Reimbursement experience required.
- Healthcare credentialing/certification preferred; eye care, private equity, HCPCS J-code, and Transitional Pass-Through reimbursement experience preferred.
- Experience with benefit verifications, prior auths, claims assistance, appeals; payer experience with Medicare (MACs), Medicare Advantage, Commercial, Medicaid.
- Claims analysis and QBR experience.
Position Type/Travel:
- Remote; travel up to 80%.
Position Summary:
Field Reimbursement Manager (FRM) serves as in-market reimbursement expert for physician practices using Harrow buy-and-bill drugs across Retina and Surgical franchises, providing compliant, non-promotional reimbursement education.
Core Responsibilities:
- Primary field contact for practice administrators, billing/coding, and clinical staff on reimbursement for Harrow buy-and-bill brands.
- Educate on payer coverage policy; medical benefit billing/coding (HCPCS/CPT/J-codes, ICD-10, modifiers); prior authorization requirements; and claims submission best practices.
- Support prior authorizations and appeals via payer-specific requirements and documentation guidance.
- Educate on support programs (patient assistance, product replacement, sample programs) and coordinate warm handoffs to HUB.
- Build trusted relationships; conduct regular structured business reviews to assess reimbursement performance, denial trends, and action plans.
- Identify at-risk accounts and develop targeted interventions; partner with Sales for coordinated, compliant support.
- Perform account-level claims analysis; maintain knowledge of commercial/Medicare/Medicare Advantage/Medicaid policies; escalate complex payer issues with supporting data.
- Coordinate with HUB/Patient Services on benefit verification, PA/appeals support, and patient assistance; provide field insights to leadership; maintain CRM documentation.
Qualifications & Requirements:
- 7+ years healthcare reimbursement/brand management/sales experience.
- Bachelor’s preferred (or equivalent).
- Buy-and-bill experience required.
- 2+ years Field Reimbursement experience required.
- Healthcare credentialing/certification preferred; eye care, private equity, HCPCS J-code, and Transitional Pass-Through reimbursement experience preferred.
- Experience with benefit verifications, prior auths, claims assistance, appeals; payer experience with Medicare (MACs), Medicare Advantage, Commercial, Medicaid.
- Claims analysis and QBR experience.
Position Type/Travel:
- Remote; travel up to 80%.