Posted in General Business 30+ days ago.
Type: Full-Time
Location: Saint Louis, Missouri
* This is a remote role that requires travel near a major airport for this territory: St. Louis, Springfield, IL, St. Paul, Minneapolis, Omaha *
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:
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