Field Reimbursement Manager

Sight Sciences•,

15h

About The Position

The Field Reimbursement Manager provides reimbursement education and day-to-day support to eye care practices, billing teams, administrators, and internal field partners within an assigned territory. The role explains approved information about coding, coverage, documentation, claims submission, payment pathways, and reimbursement processes, while avoiding legal advice, guarantees of coverage or payment, and direction of providers’ clinical or billing decisions. The position helps accounts identify common reimbursement barriers and appropriate next steps, coordinating with internal partners to address questions and unresolved issues. It conducts virtual and in-person education using company-approved materials, maintains timely documentation, identifies recurring reimbursement themes for escalation, and supports sales-partner onboarding and education. The role also builds relationships with healthcare account stakeholders, participates in meetings and training, stays current on reimbursement resources and payer processes, and completes assigned projects and compliance responsibilities. Duties must follow company policies and applicable laws and regulations. A bachelor’s degree in a relevant field is preferred, though relevant experience may be considered in place of a degree. At least two years of experience in a related healthcare or reimbursement setting is required. The role requires domestic travel of up to 30%, depending on business and territory needs, and involves extended sitting and computer work, frequent telephone and virtual interactions, and transporting standard business materials and equipment.

Requirements

At least 2 years of experience in reimbursement, patient access, medical billing, coding, revenue cycle, payer services, healthcare customer support, medical device, pharmaceutical, or a related healthcare setting.
Basic working knowledge of U.S. healthcare reimbursement, including public and commercial payers, claims processing, coding, coverage, and payment concepts.
Experience communicating with healthcare providers, office staff, billing teams, patients, payers, or other healthcare stakeholders.
Experience managing multiple customer questions or cases, documenting activity, and completing follow-up within established timelines.
Clear, professional written and verbal communication skills, including the ability to explain reimbursement concepts in practical, easy-to-understand language.
Strong organization, attention to detail, follow-through, and customer-service orientation.
Ability to work independently in a field-based environment while seeking guidance and escalating issues appropriately.
Ability to collaborate effectively with Sales, Market Access, Patient Access, Customer Service, Legal, and Compliance partners.
Comfort presenting to small groups and conducting virtual or in-person educational discussions.
Sound judgment and commitment to compliant, accurate, and non-promotional reimbursement support.
Ability to manage changing priorities and learn new products, processes, policies, and systems.
Ability to travel to physician offices, healthcare facilities, company meetings, and customer programs as required; domestic travel of up to 30% is expected based on business and territory needs.
Ability to sit and perform computer work for extended periods, frequently interact with customers by telephone and virtually, and transport standard business materials and equipment.

Nice To Haves

Bachelor’s degree in healthcare administration, business, life sciences, health policy, health economics, or a related field; relevant experience may be considered in place of a degree.
Experience using Microsoft Office and a CRM or case-management system.

Responsibilities

Provide reimbursement education and day-to-day support to eye care practices, billing teams, administrators, and internal field partners in the assigned territory.
Explain approved information related to coding, coverage, documentation, claims submission, payment pathways, and reimbursement processes without providing legal advice, guaranteeing coverage or payment, or directing clinical or billing decisions.
Help accounts identify common reimbursement barriers and appropriate next steps using available payer policies, claim forms, remittance information, and approved support resources.
Coordinate with reimbursement, patient access, customer service, and sales partners on timely follow-up for account questions and unresolved issues.
Conduct virtual and in-person customer education using company-approved presentations, tools, and materials.
Document customer interactions, issue status, follow-up commitments, and field trends accurately and promptly in approved company systems.
Identify recurring coding, coverage, billing, or payment themes and escalate them to Market Access leadership.
Support sales-partner onboarding and education on reimbursement resources, approved messaging, escalation pathways, and compliant customer support practices.
Build working relationships with healthcare providers, office managers, billing personnel, and other account stakeholders in the assigned region.
Participate in regional meetings, customer programs, and internal training as requested.
Stay current on reimbursement resources, Medicare and commercial payer processes, and company products through ongoing training and direction from Market Access leadership.
Complete assigned projects and administrative responsibilities on time, including expense reporting, training, CRM documentation, and required compliance activities.
Perform duties in accordance with company policies, procedures, and applicable laws and regulations.