Field Reimbursement Manager

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

📋 Description

• Assist the commercial team by resolving issues related to coding, billing, and reimbursement throughout the sales, onboarding, and implementation phases.

• Facilitate both virtual and in-person meetings with clients to provide education on the appropriate use of procedure codes, documentation requirements, and billing best practices for SAINT.

• Collaborate with revenue cycle teams and relevant stakeholders to guarantee accurate claims submission and prompt reimbursement.

• Analyze and interpret medical records to evaluate conformity with payer medical policies and documentation standards.

• Work alongside internal and external stakeholders to identify, predict, and address reimbursement-related obstacles that affect patient access and provider adoption.

• Collaborate closely with external teams to synchronize payer strategies, monitor field-level trends, and jointly tackle prior authorization, claims, denials, and appeals support requirements for provider sites.

• Partner with the field sales team to identify provider sites that could benefit from reimbursement education, claims assistance, or workflow enhancements.

• Address inquiries regarding coverage, access, and reimbursement from provider accounts in collaboration with external teams, while adhering to policy and compliance standards.

• Conduct regular claims reviews with practices to ensure accurate reimbursement and proactively detect any underpayments or denials.

• Maintain an in-depth understanding of Magnus policies, payer requirements, and the dynamic reimbursement landscape to execute all responsibilities in a compliant and knowledgeable manner.

• Keep abreast of market access and payer trends affecting behavioral health and neuromodulation technologies.

• Deliver pertinent reimbursement and access insights to key stakeholders, including practice administrators, billing personnel, and providers, to facilitate efficient patient access to SAINT.

⛳️ Requirements

• An associate’s degree in healthcare administration, health information technology, or a related field is required.

• A bachelor’s degree is preferred and may be considered in lieu of equivalent experience in some cases.

• A minimum of 5+ years of pertinent experience in medical billing and coding, with a robust understanding of reimbursement workflows for both public (e.g., Medicare, Medicaid) and private/commercial payers.

• Direct experience navigating the reimbursement landscape for innovative healthcare services or medical technologies, including claims follow-up, denials, and appeals.

• Certification as a Certified Professional Coder is mandatory; additional credentials such as Certified Outpatient Coder are advantageous.

• Familiarity with neuromodulation, behavioral health, psychiatry, or TMS (transcranial magnetic stimulation) is preferred.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Competitive salary and performance-based bonuses.

• Opportunities for professional development and continuing education.

• Flexible work arrangements and remote work options.

• Generous paid time off and holiday leave.