Field Reimbursement Manager

This is a fully remote position, open to applicants in Florida.

📋 Description

• Offer support to enhance Inspire access and reduce reimbursement obstacles for both patients and providers.

• Cultivate relationships with healthcare providers, their offices, Ambulatory Surgery Centers, hospital outpatient facilities, and various internal and external stakeholders.

• Operate independently in a dynamic, high-visibility environment, while also collaborating with internal prior authorization support services and field sales teams.

• Facilitate patient therapy access and relay coverage challenges across designated payer channels, providing guidance on navigating and mitigating potential difficulties.

• Engage with new accounts to deliver training on billing and coding, audit education, and support for program reviews.

• Act as a subject matter expert on coding, coverage, and reimbursement for Medicare and commercial payers.

• Effectively communicate and clarify Inspire reimbursement education, support, and resources to clients across various service locations.

• Navigate and resolve specific account and patient access concerns with both internal and external stakeholders.

• Address requests for customer site visits, Inspire program business reviews, and reimbursement support.

• Build and sustain customer relationships through reimbursement-focused engagement and cross-functional collaboration.

• Implement access and reimbursement strategic priorities while identifying and prioritizing key accounts.

• Collaborate in creating reimbursement presentations for site visits, training sessions, client presentations, and meetings.

• Monitor market trends and dynamics related to CMS and commercial payers.

• Manage additional responsibilities as needed based on organizational requirements.

• Ensure activities conform to company quality system procedures, relevant laws, regulations, and industry standards.

⛳️ Requirements

• A Bachelor’s degree in business, science, or healthcare administration is required.

• Over 7 years of experience in reimbursement/market access and/or a proven track record working with complex insurance payer claims, denials, and appeals (Medicare and commercial).

• Strong knowledge of coding, coverage, and reimbursement for implantable medical devices within the healthcare sector, including HCPs, ASCs, and hospitals.

• Experience engaging directly with HCPs across various service locations and in group educational formats.

• Exceptional communication and presentation skills for both in-person and virtual interactions with customers, cross-functional partners, and internal reimbursement and prior authorization teams.

• Ability to solve problems independently and collaboratively, demonstrating diligent self-motivation in follow-up.

• Direct experience working with multiple internal and external stakeholders and managing projects effectively.

• Willingness to travel regularly, up to 25% of the time.

• Preferred: Experience with implantable medical devices.

• Preferred: Familiarity with Neurology products.

• Preferred: Coding certification (CPC, COC).

🏝️ Benefits

• Comprehensive benefits package.

• 401k matching program.

• Employee Stock Purchase Program (ESPP).

• Flexible time off (FTO).

• Tuition reimbursement available.

• Multiple health insurance plan options.

• Employer contributions to Health Savings Account.

• Dental benefits offered.

• Vision benefits available.

• Life insurance benefits.

• Disability benefits provided.

• 401k plan with employer matching.

• Identity protection services.

• Employee Assistance Program (EAP).

• Equity awards.

• Employee Stock Purchase Program.