Reimbursement Manager

The Mullings Group 1 Reviews – Redwood City, CA
Apply on Career Site Posted 30+ days ago

Job Description

Our client is an emerging leader in the treatment of Sleep Apnea based in the Bay Area. This is an exciting opportunity for an experienced Reimbursement Manager to join a leading player in an intriguing medical device space. Their device could revolutionize an enormous space and already showing signs of tremendous public interest. Responsibilities • Manage day-to-day activity of the reimbursement services and patient assistance program(s) including supervision of staff • Monitor program statistics and metrics and provide staff with needs improvement feedback • Presentation of program information to internal and external customers • Cultivate and manage relationships with key contacts at managed care organizations (Medical Directors, Directors of Contracting, etc.), CMS and medical professional societies • Maintain updated coverage policies for all Medicare, Medicaid and private payers • Provide appropriate coding and billing guidance • Assist customers in analyzing claims and advise on appeals within the scope of FDA labeling and the intended product utilization. Investigate all denied or partially paid services with customers and Reimbursement Services and provide follow-up to Reimbursement Department Manager, sales representative, and customer as appropriate regarding next steps and support needs. • Establish relationships with sales representatives and customers to provide reimbursement service in an appropriate, prescribed manner. Qualifications- • Bachelors degree and Reimbursement Management experience required • Managed a team • Demonstrated knowledge of CPT/ICD coding, medical billing and collections, financial reporting and management • Knowledge of claims handling • Minimum of 2 years reimbursement experience focusing on reimbursement/managed care team support, health economics, reimbursement strategy or health policy for a medical device company. • Excellent analytical skills and communication skills are essential and the highest level of integrity is required
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