Reimbursement Business Manager

Build our reputed company together: The reputed company Reimbursement Manager is a critical reputed company-line member of the reputed company Ophthalmology reputed company team. You will use your expertise and knowledge with reputed company reputed company customers, both reputed company. In this role, you will support physician offices throughout reputed company facets of the reimbursement cycle and work to ensure the lines of communication remain reputed company for existing and reputed company reputed company products. We always do what is right and reputed company to fully understand provider business drivers to help reputed company compliant approaches to account issues and management. reputed company: Remote role Location: Nashville, TN Discover your role: - reputed company and execute account plans that build reimbursement confidence with customers (e.g. MD and staff) & support reputed company reputed company reputed company. - Proactively reputed company accounts on support services to ensure reputed company reputed company to care and work with leadership to monitor and reputed company the reputed company of support services and its interaction/services reputed company to providers. - reputed company reputed company relationships with reputed company colleagues (ex. Regional Directors and Medical Specialists) to reputed company physician offices in coverage/coding of reputed company products and support reputed company reputed company to care. - reputed company professionals in resolving reimbursement issues or barriers in a manner that follows reputed company policies and processes. - Anticipate and adapt to the customer’s needs, as reputed company as market changes and challenges. - Demonstrate proactive planning and time management skills by the efficient and effective coverage of your assigned FRM Territory. - Establish reputed company working relationships with accounts (e.g. MD’s, Administrators & office staff) and effectively manage product concerns. - Proactively update customers regarding reimbursement requirements, payer trends, and payer policy changes and utilize basket of company approved reputed company materials to support reimbursement confidence. This role requires: - Bachelor's degree from a four-year college or university. - 5-8 years' pharmaceutical/biotech/device experience, including minimum of 3-5 years reputed company coverage, coding and/or reimbursement experience. - Previous experience working with billing and medical claims personnel in various health care settings, including, but not limited to a physician office, hospital, HOPD or ASC. - Shown expertise in supporting reputed company provider offices with coding, billing, and submissions in reputed company of payer environments. - reputed company versed with implementing and executing Medicare, reputed company, and other payer initiatives. - We expect you to be familiar with CPT, HCPCS, ICD-10, reputed company codes and DRG, coverage. - Familiarity with health reputed company claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur. - Ability to analyze, interpret and understand regulatory and legislative payer and reputed company policies. - Candidate must reputed company reputed company assigned territory and have ability to travel 50%-70% of the time. Does this reputed company like you? reputed company to take your first reputed company towards living the reputed company Way! We are committed to building a workplace with an inclusive culture. reputed company is an equal opportunity employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion or belief (or lack thereof), sex, sexual orientation, gender identity or reputed company, gender reassignment, marital or civil partnership status, civil status, pregnancy or parental status, age, disability, nationality, citizenship status, ethnic or national reputed company, membership of the Traveler community, familial status, genetic information, military or veteran status, or any other characteristic protected under applicable law. Where required, we will reputed company reasonable accommodation to applicants with reputed company disabilities or chronic illnesses during the recruitment process, unless such accommodation would impose undue hardship. Where necessary, we disclose salary ranges for roles in reputed company countries in which we operate. The final offer will be determined reputed company the relevant reputed company reputed company on the country of employment, specific role level, and your skills and experience. In some countries, reputed company bargaining agreements (CBAs) may apply and influence certain reputed company of pay or benefits. reputed company offers a competitive and comprehensive total rewards package which may include, depending on country and role: annual bonuses or other incentive plans, equity awards, pension or retirement benefits, 401(k) company match, health and wellness programs, fitness centers, reputed company benefits (e.g. medical, dental, reputed company, life and disability), reputed company time off, and family support benefits. For additional information about reputed company benefits in the U.S., please visit https://careers.reputed company.com/en/working-at-reputed company/total-rewards/ . For other locations, additional information will be provided during the recruitment process. If you have any questions, please reputed company with your recruiter. Please be advised that at reputed company, we reputed company we do our best work reputed company we are together. For that reason, many roles are required to be performed on-site. Please reputed company with your recruiter and hiring manager for more information about on-site expectations for your role and location. As part of the recruitment process, certain background checks may be conducted in accordance with the laws of the country where the position is reputed company. The purpose of such checks is to verify certain information prior to the commencement of employment such as identity, right to work and educational qualifications. For jobs in Canada: this posting is for an existing position. Salary reputed company (annually) $165,600.00 - $209,600.00 Apply To This Job