Provide billing and reimbursement support to sales specialists and customers.
Investigate patient’s medical benefits and identify opportunities for prior authorizations.
Prepare and submit prior authorizations in a timely manner.
Effectively interface with hospitals, wound care centers and physicians to insure the highest level of reimbursement is attained.
Communicate and accurately document payor trends.
Foster partnerships with national accounts.
Monitor and update Medicare, Medicaid and Private Payor policies and guidelines.
Monitor and communicate policy developments that impact the reimbursement success of products.
Help build relationships in key markets with government, physician, hospital, and third-party payer decision makers.
Oral presentation skills preferred to give quarterly meetings.
Other duties as needed.
BA/BS degree in Healthcare Administration, Business, Economics preferred.
3+ years of work experience in the health care industry.
Medical device or biologics experience preferred.
Functional expertise in reimbursement and healthcare policy is necessary.
Must possess an intimate knowledge of Medicare, Medicaid, Managed Care and Private Payor reimbursement process.