Virtual Reimbursement Field Manager (VFRM)

Thomas J. Paul

1d

About The Position

The Virtual Reimbursement Field Manager (VFRM) provides reimbursement and patient access support to healthcare providers and their staff through virtual engagement. The role is a resource for billing, coding, payer coverage, and buy-and-bill reimbursement processes, helping resolve access and reimbursement challenges. The VFRM works closely with Sales, Market Access, and Patient Services teams to support healthcare providers, improve patient access, and deliver a high level of customer service while meeting compliance requirements.

The position involves virtual outreach and education for healthcare providers, hospitals, physician offices, and reimbursement teams. It includes support for provider onboarding, payer coverage education, benefit verification, and reimbursement questions, along with coordination across internal teams. The VFRM maintains virtual engagement with approximately 10–15 healthcare offices or facilities daily and conducts all activities in accordance with company policies, industry regulations, and compliance requirements.

Requirements

• Bachelor's degree in Business, Health Sciences, Healthcare Administration, Management, or a related field.
• At least 3 years of experience in the biotechnology, pharmaceutical, medical device, or healthcare industry.
• At least 3 years of hands-on experience in healthcare reimbursement, billing, and coding within healthcare, biotechnology, pharmaceuticals, wound care, or surgical devices.
• Strong knowledge of healthcare reimbursement practices, medical terminology, billing procedures, coding, payer coverage policies, and compliance requirements.
• Demonstrated experience supporting healthcare providers with buy-and-bill processes, including purchasing and billing pharmaceutical products under J-codes.
• Experience launching new biologics or innovative therapies involving medical and pharmacy benefits.
• Strong communication, problem-solving, and relationship management skills for engaging healthcare providers and internal teams virtually.
• Ability to work independently, manage multiple priorities, and resolve reimbursement and patient access challenges while maintaining a patient-first approach.

Nice To Haves

• Advanced degree (MBA or MS).
• Experience in reimbursement or account management within biotechnology, particularly dermatology and buy-and-bill products.
• Experience working directly with commercial and Medicaid payers.
• Certified Professional Coder (CPC) certification.

Responsibilities

• Conduct virtual outreach and engagement with healthcare providers, hospitals, physician offices, and reimbursement teams to provide patient access and reimbursement education and support.
• Serve as a subject matter expert on reimbursement, billing, coding, J-codes, and pharmaceutical buy-and-bill processes.
• Educate and onboard healthcare providers and office staff on billing procedures, coding requirements, and national and local payer coverage policies.
• Support commercial and Medicaid payer initiatives, including coverage education and reimbursement-related activities, in collaboration with Market Access leadership.
• Serve as a primary contact for reimbursement questions and help identify and resolve coverage, billing, and patient access challenges in a timely manner.
• Review and interpret benefit verification requests and results to identify reimbursement barriers and support appropriate resolution.
• Collaborate with Sales, Market Access, and Patient Services teams to coordinate customer support, communicate reimbursement updates, and improve the patient experience.
• Maintain virtual engagement with approximately 10–15 healthcare offices or facilities daily to support product procurement, billing, coding, and reimbursement.
• Conduct all activities professionally and in accordance with company policies, industry regulations, and compliance requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level