Field Reimbursement Manager – Market Access
GE HealthCare
full-time
Posted on:
Location Type: Remote
Location: Massachusetts • Oregon • United States
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Salary
💰 $132,000 - $198,000 per year
About the role
- Will be subject matter expert on all reimbursement support programs, payer claim processes, and access issue resolution
- Develop & perform On-boarding & In-service presentations (in-person and virtual) with new and existing customer accounts
- Responsible for proactive customer (prescribers, office staff, imagers, etc.) education about the PDx portfolio’s Payer Coverage policies, reimbursement processes, patient services, and benefit investigation
- Primary point of contact responsible for resolving general and patient specific access and reimbursement challenges by leveraging the required internal and external resources
- Develop Access & Reimbursement tools and Guides and disseminate approved content related to product coverage, claims processing, prior authorizations, and appeals
- Maintain ongoing communication with the Market Access Account Executives and Sales to provide field intelligence and prioritize key accounts regarding account interactions
- Attend conferences to promote GEHC’s Patient Support Services
Requirements
- Bachelor’s degree or equivalent
- Minimum of 5 years’ experience in the US healthcare medical device, or pharmaceutical sector
- Minimum of 3 years’ US FRM experience
- Knowledge of and experience with medical benefit reimbursement and payment mechanisms including medical coding, claims and billing processes
- Comprehensive knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage/ reimbursement dynamics
- Familiarity with provider office and hospital outpatient department reimbursement, regulations, customers, and account-based planning
- Knowledge of the radiology authorization process including but not limited to understanding HCPCS, CPT, and ICD-10 codes and associated regulations
- Experience working with HUB or reimbursement call center
- Ability to establish close collaboration with strategic partners and peers and lead collaborative initiatives
- Problem solving and decision-making skills with the ability to “think on feet” and suggest alternatives and solutions
- Strong customer focus with an ability to build relationships, identify and resolved (access) challenges, and manage complex project skills
- Ability to operate independently and successfully as a leader in a matrix environment
- Highly organized, strategic thinker with excellent verbal and written presentation skills
- Ability to travel to connect with customers, and field sales teams
- Demonstrated competence with CRM systems, PowerPoint, Excel & Word.
Benefits
- medical, dental, vision
- paid time off
- a 401(k) plan with employee and company contribution opportunities
- life, disability, and accident insurance
- tuition reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical codingclaims processingbilling processesHCPCS codesCPT codesICD-10 codesreimbursement dynamicsaccess issue resolutionprior authorizationsappeals
Soft Skills
problem solvingdecision-makingcustomer focusrelationship buildingproject managementcollaborationstrategic thinkingcommunicationindependenceorganization
Certifications
Bachelor’s degree