Field Reimbursement Manager – Market Access

ManagerManagerFull TimeRemoteSeniorTeam 10,001+Since 1892H1B SponsorCompany SiteLinkedIn

Location

Massachusetts

Posted

20 days ago

Salary

$132K - $198K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Will be subject matter expert on all reimbursement support programs, payer claim processes, and access issue resolution • Develop & perform On-boarding & In-service presentations (in-person and virtual) with new and existing customer accounts • Responsible for proactive customer (prescribers, office staff, imagers, etc.) education about the PDx portfolio’s Payer Coverage policies, reimbursement processes, patient services, and benefit investigation • Primary point of contact responsible for resolving general and patient specific access and reimbursement challenges by leveraging the required internal and external resources • Develop Access & Reimbursement tools and Guides and disseminate approved content related to product coverage, claims processing, prior authorizations, and appeals • Maintain ongoing communication with the Market Access Account Executives and Sales to provide field intelligence and prioritize key accounts regarding account interactions • Attend conferences to promote GEHC’s Patient Support Services

Job Requirements

  • Bachelor’s degree or equivalent
  • Minimum of 5 years’ experience in the US healthcare medical device, or pharmaceutical sector
  • Minimum of 3 years’ US FRM experience
  • Knowledge of and experience with medical benefit reimbursement and payment mechanisms including medical coding, claims and billing processes
  • Comprehensive knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage/ reimbursement dynamics
  • Familiarity with provider office and hospital outpatient department reimbursement, regulations, customers, and account-based planning
  • Knowledge of the radiology authorization process including but not limited to understanding HCPCS, CPT, and ICD-10 codes and associated regulations
  • Experience working with HUB or reimbursement call center
  • Ability to establish close collaboration with strategic partners and peers and lead collaborative initiatives
  • Problem solving and decision-making skills with the ability to “think on feet” and suggest alternatives and solutions
  • Strong customer focus with an ability to build relationships, identify and resolved (access) challenges, and manage complex project skills
  • Ability to operate independently and successfully as a leader in a matrix environment
  • Highly organized, strategic thinker with excellent verbal and written presentation skills
  • Ability to travel to connect with customers, and field sales teams
  • Demonstrated competence with CRM systems, PowerPoint, Excel & Word.

Benefits

  • medical, dental, vision
  • paid time off
  • a 401(k) plan with employee and company contribution opportunities
  • life, disability, and accident insurance
  • tuition reimbursement

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