Reimbursement Access Manager - Northeast
Company: Disability Solutions
Location: Boston
Posted on: April 18, 2024
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Job Description:
*This role covers New Jersey and areas North*Who We Are:
Harvesting Hope with a Growing FamilyAt Merz Therapeutics, we take
a nurturing approach to our organization - treating colleagues like
family, embracing our whole selves and creating a company culture
that encourages growth and decisive action. We are committed to
caring for whole communities by focusing on individuals suffering
from movement disorders and neurological conditions and the
healthcare providers dedicated to helping them, while
simultaneously bolstering our team members in a united effort to
make a difference.As a private, family-owned company, we have the
liberty and support to make decisions for ourselves, our customers
and the patients we serve. We pride ourselves on building an
inclusive culture where there is room to celebrate individual
growth and the ability to contribute to a common good as a
collaborative team. Our mission is grounded in a long-term view of
making a difference for the common good, while growing together as
a family.If you're looking to immerse yourself in a passionate team
rooted in community, connection and camaraderie, then we're looking
for YOU! #IAmMerzTxAre you a self-starter, and do you thrive in
entrepreneurial environments?The Reimbursement Access Manager (RAM)
requires an individual with demonstrated success in reimbursement
expertise, including interpretation of coverage, coding and payment
policies, with the ability to apply such knowledge at the provider
level.The RAM will be responsible for leading and overseeing all
reimbursement and access functions within their assigned region.
Specifically, the RAM is tasked with developing relationships with
Merz customers and facilitating appropriate patient access to
therapies through education and in-services to practices. The RAM
will also provide highly involved and personalized guidance to the
Neurosciences field staff and Merz business partners in
understanding and addressing reimbursement and access
challenges.Are you ready to galvanize a team around a culture of
care, putting patients first to spark change?Apply today and join
our team! #IamMerzTxMajor dutiesDescriptionAccount Management---
Work strategically with practices to deliver information that
facilitates patient access to and appropriate reimbursement of Merz
Therapeutics products.--- Offer resources that support the
providers in gaining access to Merz Therapeutics products for their
patients as appropriate.Support Benefit Verification--- Review
patient benefit options, prior authorization requirements and
alternate funding/financial assistance programs with providers and
office staff.Adoption of HUB Services--- Increase awareness and
utilization of the Next Steps support line services. Leverage the
program to provide high touch support to practices and
patients.Provide Coverage Landscape--- Serve as a technical expert
in government and third party reimbursement and coverage policies
and as a source for reimbursement information for internal
(Marketing, Sales, Medical Affairs, etc.) and external (Physicians,
Office Staff) customers.Current of CMS Trends--- Monitor Centers
for Medicare and Medicaid Services (CMS) reimbursement policies and
keep abreast of trends in reimbursement and health policy that
affect Merz Therapeutics' products and the markets in which they
compete.Access Issue Resolution--- Communicate changes or issues
relating to commercial coverage policies to the National Accounts
team in a timely fashion.Veeva Portal Input--- Document all office
interactions in the Veeva portal of practice interaction. The notes
recorded in Veeva should be limited to basic information for follow
up calls (i.e., diagnosis codes, CPT codes, reason for denial) and
office contact logistics.PSP Education--- Ensure practices are
aware of Patient Assistance and Patient Co-pay programs available
for patients being treated. Supports patient compliance to
therapy.Education:
Keywords: Disability Solutions, Providence , Reimbursement Access Manager - Northeast, Executive , Boston, Rhode Island
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