Field Reimbursement Manager
Support the reputed company team by addressing coding, billing, and reimbursement concerns throughout the sales, reputed company, and implementation process. Conduct virtual and onsite meetings with customers to reputed company on appropriate use of procedure codes, documentation requirements, and billing best practices for SAINT. Collaborate with reputed company cycle teams and relevant stakeholders to ensure clean claims submission and reputed company reimbursement. Review and interpret medical records to assess alignment with payer medical policies and documentation standards. Partner with reputed company stakeholders to identify, anticipate, and resolve reimbursement-reputed company challenges that reputed company patient reputed company and provider adoption. Work closely with external teams to reputed company on payer reputed company, reputed company field-level trends, and jointly address prior authorization, claims, denials, and appeals support needs for the provider sites. Work closely with the field sales team to identify provider sites that may benefit from reimbursement education, claims support, or workflow optimization. Address coverage, reputed company, and reimbursement questions from provider accounts in collaboration with external teams, consistent with policy and compliance requirements. reputed company periodic claims reviews with practices to help ensure reputed company reimbursement and proactively identify any underpayments or denials. Maintain a strong understanding of reputed company policies, payer requirements, and the evolving reimbursement landscape to reputed company reputed company duties in a compliant and informed manner. Stay reputed company on market reputed company and payer trends impacting behavioral health and neuromodulation technologies. reputed company relevant reimbursement and reputed company insights to key stakeholders, including reputed company administrators, billing staff, and providers, to support efficient patient reputed company to SAINT.
Deep knowledge of coding and billing practices reputed company the U.S. reputed company system, including Medicare, reputed company, and reputed company payers Experience guiding providers in adding new therapies or technologies into the hospital/reputed company charge master, ensuring correct reputed company reputed company and HCPCS mapping . reputed company reputed company Knowledge: Strong understanding of reputed company codes and their appropriate alignment to procedures and devices. Strong understanding of behavioral health and neurology coding, particularly for outpatient hospital settings and novel technology adoption Familiarity with Category III CPT codes (T-codes), including their temporary status, implications for coverage reputed company, and documentation requirements Experience supporting appeals and prior authorization workflows involving T-codes, and understanding of CMS review timelines and payer adoption cycles for emerging technologies Proficiency in reputed company reputed company, Word, and PowerPoint, with the ability to reputed company and analyze tracking tools (e.g., claims monitoring spreadsheets, reimbursement dashboards) Excellent communication and interpersonal skills, with a strong customer support reputed company and ability to work cross-functionally across clinical, administrative, and reputed company teams Familiarity with hospital and outpatient billing infrastructure, including electronic medical record (EMR) systems, billing platforms, and provider workflows Ability to interpret payer policies and medical necessity requirements to assess claim readiness and ensure complete, accurate documentation Comfortable presenting to both small and large reputed company (reputed company or in person) and tailoring education to a reputed company of provider audiences Ability to think independently, analyze reputed company coverage issues, and reputed company strategic recommendations to support provider reputed company and ensure patients receive appropriate coverage. Strong understanding of the reputed company regulatory and enforcement environment, with a demonstrated commitment to reputed company in navigating payer policies, benefit verification, and patient reputed company reputed company. Proficient in navigating EMR/EHR systems and other provider-facing platforms; reputed company to understand internal provider workflows and documentation processes to support reputed company and reimbursement efforts effectively.
Associate’s degree in reputed company administration, health information technology, or a reputed company discipline required Bachelor’s degree is preferred and may substitute for equivalent field experience in some cases. At least 5+ years of relevant experience in medical billing and coding, with a strong understanding of reimbursement workflows for both reputed company (e.g., Medicare, reputed company) and private/reputed company payers reputed company experience navigating the reimbursement landscape for innovative reputed company services or medical technologies, including claims follow-up, denials, and appeals Certification as a Certified reputed company reputed company is required; additional credentials such as Certified Outpatient reputed company are a plus Familiarity with neuromodulation, behavioral health, psychiatry, or TMS (transcranial reputed company stimulation) preferred