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Field Reimbursement Manager - Houston

Field Reimbursement Manager - Houston
Davita Inc.
Houston (TX)
Remote
USD 106,000 - 178,000
Urgently required
Yesterday
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Mental Health Therapist - Arizona (Part-Time)

Mental Health Therapist - Arizona (Part-Time)
Dolls Kill
Phoenix (AZ)
Remote
USD 60,000 - 80,000
Urgently required
Yesterday

Customer Service Representative- Part-Time: Saturday & Sunday 10:00 p.m. to 6:30 a.m.

Customer Service Representative- Part-Time: Saturday & Sunday 10:00 p.m. to 6:30 a.m.
MedStar Health
Horsham (PA)
Remote
USD 35,000 - 50,000
Urgently required
Yesterday

Financial Aid Advisor - Advising & Outreach

Financial Aid Advisor - Advising & Outreach
MedStar Health
Indianapolis (IN)
Remote
USD 60,000 - 80,000
Urgently required
Yesterday

Psychiatrist (MD)

Psychiatrist (MD)
BlueSky Telepsych
Pinetop (AZ)
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USD 200,000 - 250,000
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Yesterday
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Senior Talent Management and Enablement Manager

Senior Talent Management and Enablement Manager
Confluent
Cowpens (SC)
Remote
USD 182,000 - 215,000
Urgently required
Yesterday

Advertising Strategist I

Advertising Strategist I
MedStar Health
Powder Springs (GA)
Remote
USD 49,000 - 74,000
Urgently required
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Remote Life Insurance Sales Agents Needed

Remote Life Insurance Sales Agents Needed
MedStar Health
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USD 70,000 - 150,000
Urgently required
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Heavy Duty Mechanic
Remote Mechanic Jobs
Milwaukee (WI)
Remote
USD 52,000 - 85,000
Urgently required
Yesterday

Customer Service Representative Administrator - US Remote

Customer Service Representative Administrator - US Remote
MedStar Health
Detroit (MI)
Remote
USD 35,000 - 55,000
Urgently required
Yesterday

Psychiatrist (MD)

Psychiatrist (MD)
BlueSky Telepsych
Security-Widefield (CO)
Remote
USD 200,000 - 250,000
Urgently required
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Remote Life Insurance Sales Agents Needed

Remote Life Insurance Sales Agents Needed
MedStar Health
Shoreview (MN)
Remote
USD 60,000 - 80,000
Urgently required
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Remote Life Insurance Sales Agents Needed

Remote Life Insurance Sales Agents Needed
MedStar Health
Saint Paul (MN)
Remote
USD 50,000 - 120,000
Urgently required
Yesterday

Midwest Policy Manager

Midwest Policy Manager
MedStar Health
Detroit (MI)
Remote
USD 175,000 - 221,000
Urgently required
Yesterday

Project Manager - Generator

Project Manager - Generator
MedStar Health
Houston (TX)
Remote
USD 60,000 - 85,000
Urgently required
Yesterday

Financial Aid Advisor - Advising & Outreach

Financial Aid Advisor - Advising & Outreach
MedStar Health
Washington (District of Columbia)
Remote
USD 125,000 - 150,000
Urgently required
Yesterday

Remote - Veterans Benefits Representative

Remote - Veterans Benefits Representative
AO Garcia Agency
San Marcos (TX)
Remote
USD 35,000 - 50,000
Urgently required
Yesterday

Heavy Duty Diesel Mechanic - Commercial Trucks

Heavy Duty Diesel Mechanic - Commercial Trucks
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Jacksonville (FL)
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USD 52,000 - 94,000
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Marine Mechanic

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Philadelphia (Philadelphia County)
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USD 45,000 - 80,000
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Women's Health Temporary Inbound Patient Advocate (Remote)

Women's Health Temporary Inbound Patient Advocate (Remote)
MedStar Health
Salt Lake City (UT)
Remote
USD 10,000 - 60,000
Urgently required
Yesterday

Accounts Receivable Representative - Self-Pay *Remote*

Accounts Receivable Representative - Self-Pay *Remote*
MedStar Health
Albuquerque (NM)
Remote
USD 100,000 - 125,000
Urgently required
Yesterday

Network Operations Center Programmer (IT ARCHITECT 4)

Network Operations Center Programmer (IT ARCHITECT 4)
MedStar Health
Davis (CA)
Remote
USD 80,000 - 100,000
Urgently required
Yesterday

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USD 52,000 - 94,000
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Financial Aid Advisor - Advising & Outreach

Financial Aid Advisor - Advising & Outreach
MedStar Health
Milwaukee (WI)
Remote
USD 60,000 - 80,000
Urgently required
Yesterday

Technical Education Specialist - Flex

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MedStar Health
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Field Reimbursement Manager - Houston

Be among the first applicants.
Davita Inc.
Houston
Remote
USD 106,000 - 178,000
Be among the first applicants.
Yesterday
Job description
Description

At MIMEDX, our purpose starts with helping humans heal. We are driven by discovering and developing regenerative biologics utilizing human placental tissue to provide breakthrough therapies addressing the unmet medical needs for patients across multiple areas of healthcare. Possessing a strong portfolio of industry leading advanced wound care & surgical products combined with a promising clinical pipeline, we are committed to making a transformative impact on the lives of patients we serve globally.


We are excited to add a Field Reimbursement Manager to our reimbursement team! The position will pay between $106,000 - $178,000 plus bonus based on previous relevant experience, educational credentials, and location.


POSITION SUMMARY:


The Field Reimbursement Manager will support a Regional Sales Team and customers to help navigate the patient access and reimbursement landscape to MiMedx products.


ESSENTIAL DUTIES AND RESPONSIBILITIES:



  • Conduct training and education for new and existing customers on MiMedx Insurance Verification Request (IVR) process, billing, coding, place of service reimbursement, and national and local coverage policies by in-person meetings, email, phone, and WebEx

  • Serve as the primary reimbursement contact for a Regional Sales Team being the subject matter reimbursement expert

  • Work as liaison with provider accounts and field sales to provide information required to timely complete IVR cases with the Patient Insurance Verification Team (PIVT).

  • Provide Payer coverage and reimbursement updates to both internal and external customers

  • Follow-up with accounts to ensure proper payment of claims, identify any reimbursement issues, and work with the account to resolve

  • Investigate all denied or partially paid services and provide guidance regarding next steps and support needs

  • Conduct claim reimbursement reviews to monitor accurate payments; provide detailed analysis and identify billing errors

  • Meet or exceed quarterly Metric Based Objectives (MBO) pertaining to education and communication of reimbursement and coverage of MiMedx products

  • Conduct quarterly consignment product audits with Account Executives

  • Report changes in coverage/reimbursement trends and global concerns in this area to management to ensure corrective actions and mitigation of future occurrences

  • Troubleshoot national and local payer reimbursement issues

  • Adhere to HIPAA policies and procedures to ensure compliance

  • Adhere to the organization's appeal strategy and manage its on-going tactical application to ensure a successful reversal rate


EDUCATION/EXPERIENCE:



  • BS/BA in related discipline

  • 2+ years of buy and bill medical benefit reimbursement experience

  • OR

  • MS/MA and 1-3 years of experience in related field. Certification is required in some areas

  • Familiarity with medical policy for insurance payers; Medicare, Medicaid, and Commercial

  • Strong understanding of CMS and final-rules and methodologies, experience with multiple places of service requirements, comprehension of Commercial Insurers (Aetna, Anthem Blue Cross Blue Shield, Cigna, Humana, United Health Care)

  • Experience with Salesforce based CRM systems preferred

  • Prefer sales or account management experience

  • Strong understanding of medical coding including ICD10, CPT and HCPCS codes

  • Strong understanding of medical management and health insurance concepts, information systems and strong analytical and problem-solving skills

  • Performs full range of standard professional level work that typically requires processing and interpreting, more complex, less clearly defined issues. Identifies problems and possible solutions and takes appropriate action to resolve.


SKILLS/COMPETENCIES:



  • Excellent oral, written, and interpersonal communication skills

  • Ability to interact with all levels of management, both internal and external, third party payers, and customers

  • Organized, flexible, and able to multi-task while maintaining a high level of efficiency and attention to detail

  • Strong analytical skills, clinical interests, strategic and technical analysis and problem-solving skills

  • Ability to influence others to achieve desired results using tenacity and diplomacy

  • Fully competent and productive professional contributor, working independently on larger, moderately complex projects/assignments that have direct impact on department results


WORK ENVIRONMENT:



  • The work is typically performed at home. Will be required to travel 2-3 days a week a few weeks per quarter to build solid account relationships (20% to 30% of time).



At MIMEDX, we are committed to fair and equitable pay practices. We pay our employees equitably for their work, commensurate with their individual skills and experience. Salary ranges and additional compensation, including discretionary bonuses and incentive pay, are determined by a rigorous review process. Salary ranges consider the experience, education, certifications, and skills required for the specific role, equity with similarly situated employees, as well as employer-verified US region specific market data provided by an independent 3rdparty partner. Individual salaries vary depending on factors such as your experience, education, location and special skill set. In addition, MIMEDX offers competitive benefits including healthcare, 401k savings plan, ESPP, vacation, and parental leave.


Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to, or requirements for, this job at any time.


Qualifications

Education
Bachelors (required)


Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.


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* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.

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