Field Reimbursement Manager - Western Region
Job Summary
Job Description
bioMérieux is seeking a Field Reimbursement Manager (FRM) for the Western Region. The FRM will act as a key partner to healthcare providers, laboratories, and hospital systems, assisting them in navigating complex access and reimbursement pathways for diagnostic solutions. Responsibilities include educating and supporting providers and revenue cycle teams to optimize billing, reduce claim denials, and ensure patient access to testing. The role involves close collaboration with sales, medical affairs, and commercial operations teams to address provider needs, troubleshoot issues, and share insights for strategic access planning. This field-based position is crucial for improving public health through diagnostic innovation.
Must have:
- 5+ years of experience in field-based or provider-facing access/reimbursement/revenue cycle roles in healthcare/biotech/diagnostics.
- Deep knowledge of US payer systems (commercial, Medicare, Medicaid) and regulations.
- Proficiency in CPT, ICD-10, HCPCS coding, claims workflows, prior authorizations, and appeals.
- Strong background in educating or supporting provider billing, revenue cycle, or lab teams.
- Bachelor's Degree required.
Good to have:
- Advanced degree (MBA, MPH, MHA) preferred.
- Experience collaborating with sales, commercial, or field support organizations.
- Familiarity with laboratory diagnostics and infectious disease markets.
- Strong problem-solving skills related to reimbursement and coverage challenges.
- Ability to work autonomously in a remote/field environment.
3 skills required
Job Details
As the Field Reimbursement Manager (FRM) at bioMérieux, you will serve as a trusted partner to healthcare providers, laboratories, and hospital systems by helping them navigate complex access and reimbursement pathways for our diagnostic solutions. Your focus will be to educate, support, and empower providers and revenue cycle teams to optimize billing practices, reduce claims denials, and ensure patient access to critical testing.
You will collaborate closely with sales, medical affairs, commercial operations, and customer service teams to address provider needs, troubleshoot reimbursement issues, and share insights that influence strategic access planning. This highly visible field-based role is integral to our mission of improving public health through diagnostic innovation.
Primary Duties
- Serve as the primary reimbursement and access resource for healthcare provider customers, delivering onsite, remote, and webinar-based education and support.
- Educate provider staff on appropriate CPT, PLA, ICD-10 coding, claim submission protocols, prior authorization requirements, and appeals processes.
- Troubleshoot billing and reimbursement challenges, resolving claim denials, underpayments, and access delays through provider collaboration.
- Partner with Sales and Customer Service to support new customer onboarding and sustain account health through proactive reimbursement assistance.
- Document and report provider challenges, access barriers, and payer trends to inform internal strategies and customer solutions.
- Develop, maintain, and distribute field tools, reimbursement guides, training decks, and templates that simplify provider workflows.
- Participate in cross-functional initiatives related to new product launches, market access planning, and customer engagement strategies.
- Represent the provider voice internally to optimize product positioning, messaging, and support infrastructure.
- Responsible for supporting diagnostic product access with revenue impact through improved reimbursement outcomes.
- Perform all work in compliance with company quality procedures and standards.
- Performs other duties as assigned.
Experience
- Bachelor’s Degree required.
- Advanced degree (MBA, MPH, MHA) preferred.
- Minimum 5+ years of experience in field-based or provider-facing access, reimbursement, or revenue cycle roles within the medical diagnostics, biotech, or healthcare sectors.
- Deep knowledge of U.S. payer systems (commercial, Medicare, Medicaid) and regulatory guidelines.
- Proficiency in CPT, ICD-10, HCPCS coding, claims workflows, prior authorizations, appeals processes.
- Strong background in educating or directly supporting provider billing, revenue cycle, or laboratory teams.
- Experience collaborating with sales, commercial, or field support organizations preferred.
Knowledge, Skills & Abilities
- Strong problem-solving skills related to reimbursement and coverage challenges.
- Exceptional communication skills with ability to educate diverse audiences.
- Comfortable developing and presenting training materials virtually and onsite.
- Ability to influence internal and external stakeholders based on deep technical knowledge.
- Familiarity with laboratory diagnostics and infectious disease markets preferred.
- Self-starter mindset with excellent organizational and prioritization skills.
- Ability to work autonomously in a remote/field environment.
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