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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reimbursement, billing, and coding processes within the healthcare industry, with a strong focus on patient access and compliance. Proven ability to engage healthcare providers and manage reimbursement challenges effectively in a virtual environment.
Highest-signal resume keywords
Reimbursement ExpertiseBilling And Coding KnowledgeHealthcare Provider EngagementPatient Access ManagementCertified Professional Coder (CPC)
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ReimbursementBillingCodingJ-CodesBenefit VerificationHealthcare ComplianceMedical TerminologyPayer Coverage PoliciesBuy-And-Bill ProcessesPatient Access
Soft Skills
Strong CommunicationProblem-SolvingRelationship ManagementIndependent WorkMulti-Priority Management
Certifications & Qualifications
Certified Professional Coder (CPC)
Industry Keywords
BiotechnologyPharmaceuticalsHealthcareMedical DeviceWound CareSurgical DevicesCommercial PayersMedicaid PayersMarket AccessPatient Services
About the role
Key responsibilities & impact- Conduct virtual outreach and engagement with healthcare providers, hospitals, physician offices, and reimbursement teams
- Provide education and support related to patient access and reimbursement
- Serve as a subject matter expert on reimbursement, billing, coding, J-codes, and buy-and-bill processes for pharmaceutical products
- Educate and onboard healthcare providers and office staff on billing procedures, coding requirements, and payer coverage policies
- Support commercial and Medicaid payer initiatives in collaboration with Market Access leadership
- Serve as a primary point of contact for reimbursement questions
- Identify and resolve coverage, billing, and patient access challenges
- Review and interpret benefit verification requests and results to identify reimbursement barriers
- Collaborate with Sales, Market Access, and Patient Services teams to coordinate customer support and communicate reimbursement updates
- Maintain virtual engagement with approximately 10–15 healthcare offices or facilities daily
- Support product procurement, billing, coding, and reimbursement
- Conduct activities in accordance with company policies, industry regulations, and compliance requirements
Requirements
What you’ll need- Bachelor's degree in Business, Health Sciences, Healthcare Administration, Management, or a related field
- 3+ years of experience in the biotechnology, pharmaceutical, medical device, or healthcare industry
- 3+ years of hands-on experience in 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
- Ability to engage healthcare providers and internal teams effectively in a virtual environment
- Ability to work independently and manage multiple priorities
- Ability to resolve reimbursement and patient access challenges while maintaining a patient-first approach
- Advanced degree (MBA or MS) preferred
- Experience in reimbursement or account management within biotechnology, particularly dermatology and buy-and-bill products, preferred
- Experience working directly with commercial and Medicaid payers preferred
- Certified Professional Coder (CPC) certification preferred
Benefits
Comp & perks- Inclusive and welcoming work environment
- Equal opportunity employment
- Application process assistance and accommodations available