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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare coverage, coding, and reimbursement processes, with a strong ability to educate and support physician offices on Regeneron products. Proven track record in managing relationships with healthcare providers and navigating payer environments effectively.
Highest-signal resume keywords
Healthcare Coverage ExpertiseCoding and Billing KnowledgeReimbursement ExperienceRelationship ManagementPayer Policy Familiarity
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT FamiliarityHCPCS FamiliarityICD-10 FamiliarityRevenue Codes KnowledgeDRG Coverage UnderstandingUB-04 FamiliarityCMS-1500 FamiliarityMedical Claims ExperienceBilling ExperienceRegulatory Analysis
Soft Skills
Communication SkillsAdaptabilityProblem-Solving SkillsCollaboration SkillsCustomer Service Orientation
Industry Keywords
Pharmaceutical ExperienceBiotech ExperienceDevice ExperienceMedicare InitiativesMedicaid InitiativesPayer TrendsPrior Authorization FormsSuper BillsCharge TicketsHealthcare Policies
About the role
Key responsibilities & impact- Support physician offices throughout all facets of the reimbursement cycle
- Maintain open communication for existing and future Regeneron products
- Develop and complete account plans that build reimbursement confidence and support continued patient access
- Educate accounts on support services and monitor their impact and interactions with providers
- Collaborate with Regional Directors, Medical Specialists, and other Regeneron colleagues
- Educate physician offices on coverage and coding of Regeneron products
- Guide healthcare professionals in resolving reimbursement issues and barriers in accordance with Regeneron policies and processes
- Anticipate and adapt to customer needs, market changes, and challenges
- Efficiently and effectively cover the assigned RBM territory
- Establish and manage relationships with physicians, administrators, and office staff
- Manage product concerns
- Update customers on reimbursement requirements, payer trends, and payer policy changes
- Apply company-approved access materials to support reimbursement confidence
Requirements
What you’ll need- Bachelor's degree from a four-year college or university
- 5-8 years' pharmaceutical/biotech/device experience, including minimum of 3-5 years healthcare coverage, coding and/or reimbursement experience
- Previous experience working with billing and medical claims personnel in various health care settings, including a physician office, hospital, HOPD or ASC
- Expertise supporting healthcare provider offices with coding, billing, and submissions across payer environments
- Experience implementing and delivering Medicare, Medicaid, and other payer initiatives
- Familiarity with CPT, HCPCS, ICD-10, revenue codes and DRG coverage
- Familiarity with UB-04, CMS-1500, explanation of benefits, prior authorization forms, and super bills/charge tickets
- Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies
- Candidate must reside within the assigned territory
- Ability to travel 50%-70% of the time
Benefits
Comp & perks- Annual bonuses or other incentive plans
- Equity awards
- Pension or retirement benefits
- 401(k) company match
- Health and wellness programs
- Fitness centers
- Medical, dental, vision, life and disability insurance benefits
- Paid time off
- Family support benefits
- Reasonable accommodation during the recruitment process where required