SetPoint Medical

Manager

• Lead and manage a team of field reimbursement specialists to support rheumatology, surgical practice and hospital/ASC value analysis and reimbursement outcomes.
• Develop reimbursement/value analysis messaging platforms, including presentations and economic value, as well as customer support models for claim payment issues.
• Serve as an executive-facing subject matter expert for value analysis committees, supply chain leaders, and clinical stakeholders.
• Identify payment trends and build analytics to support our value proposition.
• Provide claims support and follow-up, including claim review, denial analysis, appeal strategy, and payer communication.
• Educate customers on appropriate coding, billing, and documentation requirements for device-related procedures.
• Complete corporate administrative and training requirements on time and accurately.
• Maintain company standards involving ethical and moral character, and always represent the company with the highest professional standards.

Senior Manager, Field Reimbursement