Field Reimbursement & Access Strategist

GE HealthCare; Maryland; Hybrid; USD 132,000 - 198,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) plan

Paid time off

Tuition reimbursement

Job summary

GE HealthCare seeks a Field Reimbursement Manager to serve as a reimbursement expert for the PDx portfolio across the Mid-Atlantic region. You will educate customers on payer coverage, assist with benefit investigations, and resolve access challenges, collaborating with internal teams and external partners.

You will develop tools, guides, and training materials, while travelling up to 40% to connect with health systems, radiologists, and prescribers.

Qualifications

• 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 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.
• Must live within the territory (Mid-Atlantic Region)

Responsibilities

• Subject matter expert on reimbursement programs, payer claim processes, and access issue resolution.
• Develop & perform On-boarding & In-service presentations with new and existing customer accounts.
• Educate customers about PDx payer coverage policies, reimbursement processes, patient services, and benefit investigation.
• Serve as primary contact to resolve general and patient-specific access and reimbursement challenges using internal/external resources.
• Develop Access & Reimbursement tools and Guides and disseminate content on product coverage, claims processing, prior authorizations, and appeals.
• Maintain communication with Market Access Account Executives and Sales to provide field intelligence and prioritize key accounts.
• Attend conferences to promote GE HealthCare’s Patient Support Services.

Skills

FRM experience

Reimbursement knowledge

Medicare/Medicaid knowledge

Payer processes

CRM proficiency

PowerPoint

Excel

Travel readiness

Communication skills

Collaborative leadership

HCPCS CPT ICD-10 knowledge

Hospital/office reimbursement

Education

Bachelor’s degree or equivalent

Tools

CRM systems

PowerPoint

Excel

Word

Job description

GE HealthCare seeks a Field Reimbursement Manager to serve as a reimbursement expert for the PDx portfolio across the Mid-Atlantic region. You will educate customers on payer coverage, assist with benefit investigations, and resolve access challenges, collaborating with internal teams and external partners.

You will develop tools, guides, and training materials, while travelling up to 40% to connect with health systems, radiologists, and prescribers.