MTF Biologics · 1 month ago
Reimbursement Manager- Remote
United States
Full-time
Remote
Mid Level
3+ years expMTF Biologics is a global nonprofit organization that processes tissue grafts from human donors. The Reimbursement Manager will manage reimbursement support services and act as a liaison between sales staff and providers, requiring travel and the ability to address reimbursement challenges.
BiotechnologyMedical Device
Responsibilities
Support Senior Director of Health Policy and Government Affairs in fielding and responding to coding, coverage, and reimbursement internal inquiries and providing policy research assistance
In coordination with sales and marketing staff, lead on-site customer meetings (e.g. physicians & hospital medical professionals, purchasing & revenue departments, billing/coding staff) to provide coding and reimbursement education & assistance and address any reimbursement challenges
Manage third party reimbursement support services -- monitoring and analyzing casework for payer coverage trends and assisting with challenging cases and claims’ appeals
Create internal educational materials and customer collateral (coding and reimbursement guides, etc.)
Prepare and submit Medicare Part B ASP data quarterly to CMS
Qualification
Required
Bachelor's Degree
3 - 5 years of successful work experience in a related field e.g. tissue banking/tissue processing, medical device manufacturing, pharmaceutical or biologicals industry, healthcare reimbursement support services or health policy
Solid understanding of the Medicare and Medicaid programs and their payment methodologies including coverage development, coding, and reimbursement of allografts used in wound care as well as in plastic & reconstructive and orthopedic procedures in all sites of care
Previous experience working with sales, marketing, clinical, regulatory, and research & development teams to support product launches and educate sales internal staff and external customers on current and future product coding and reimbursement
Track record of developing and delivering product value through presentations to varied audiences for products with limited payer coverage & reimbursement
Experience with tissue matrices/skin substitutes used in wound care and surgical interventions as well as allografts used in plastic & reconstructive and orthopedic procedures
Able to work independently with demonstrated self-initiative, capacity to research and stay current on managed care and healthcare industry trends
Strong presentation skills with ability to articulate and present complex information in a simple and persuasive manner
Outstanding problem solving, project/program management and organizational skills
Demonstrated proficiency in MS Office (MS Word, Excel, PowerPoint, Outlook, etc.) software
Preferred
Certified Professional Coder (CPC)
Certified Professional Biller (CPB)
Certified Billing and Coding Specialist (CBCS)
Benefits
4 weeks Paid Time Off (PTO)
Paid Holidays
Medical, Dental, Vision Insurance and Prescription Drug Insurance
401K plan with company match
Short & Long Term Disability
Life & Accidental Death Insurance
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
Adoption Assistance
Voluntary Benefits (e.g., Pet Insurance, Legal, home and auto insurance)
Sword Health (at home Physical Therapy)
Company
MTF Biologics
MTF Biologics is a global organization innovations in tissue and organ donation, transplantation, and research.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
J
Joe Yaccarino
President and CEO
Brad Bailey
Vice President, Orthopedics
Recent News
2026-01-09
2025-10-20
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