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Engineered Tissue Solutions (ETS) · 1 week ago

Field Reimbursement Manager

United States

Full-time

Remote

Senior Level

5+ years exp

Engineered Tissue Solutions is a part of the Heraeus Group, a diversified technology company. They are seeking a Field Reimbursement Manager to provide reimbursement support to healthcare providers, serve as a liaison among various stakeholders, and educate customers on billing and coding practices.

Health Care

Responsibilities

Provide virtual and in-person reimbursement support activities for health care providers (HCPs) in order to help facilitate appropriate patient access to ETS products

Act as a key liaison between HCPs, sales reps, and a 3rd party reimbursement service provider to resolve day-to-day reimbursement issues, improve customer service, and maximize reimbursement success

Serve as the subject matter expert on coding, coverage, and payment issues related to Mirragen products

Educate and support customers on billing, coding, and national & local payer coverage policies

Work closely with a 3rd party reimbursement service that provides benefits verification, prior authorization, and hotline support for healthcare providers. Identify and implement improvements the interfacing processes between the 3rd party services and ETS customers and sales teams

Deliver high-impact training and onboarding to new providers and sales team members, with a focus on reimbursement processes, policy navigation, and claim documentation. Develop and maintain relationships with HCP staff responsible for billing and reimbursement functions

Support development of payer strategies and coverage expansion initiatives for skin substitute and surgical wound care application Monitor and analyze reimbursement case results to help identify opportunities to improve reimbursement success rates and ETS product access

Work cross-functionally to create customer-facing collateral that supports customer and field sales education, provider reimbursement, and payer advocacy initiatives

Understand and comply with all industry, payer, and corporate policy guidelines and procedures

Qualification

Healthcare reimbursementCodingMarket accessBachelor's degreeCertified Professional CoderWound care experienceTrainingOnboardingCross-functional collaboration

Required

5-10+ years' experience in healthcare reimbursement, coding and market access; preferably in wound care

Bachelor's or advanced degree in business, healthcare administration, health sciences, engineering, or related field

Experience in a small company or start-up environment

Effective and efficient in a remote work environment

Preferred

Certified Professional Coder is a plus

Company

Engineered Tissue Solutions (ETS)

ETS offers a borate-based bioactive glass fiber matrix that facilitates quality tissue formation without the traditional risk of infection tissue-based products have, all in an easy to use, versatile form factor.

Founded in 2017

Rolla, Missouri, USA

11-50 employees