Field Reimbursement Manager - Central North

Organogenesis Inc.; United States; Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player in regenerative medicine is seeking a Field Reimbursement Manager to drive patient access to advanced wound care products. This remote position offers the chance to educate healthcare providers on reimbursement processes, analyze complex billing issues, and collaborate with cross-functional teams. The ideal candidate will possess strong analytical skills and a commitment to building relationships. With a comprehensive benefits package and opportunities for professional growth, this role is perfect for those looking to make a significant impact in the healthcare sector.

Benefits

401(k) with employer match

Comprehensive medical, dental, and vision coverage

Flexible Spending or Health Savings Accounts

Paid parental and maternity leave

Education assistance up to $5,000/year

Wellness programs

Employee Assistance Program

Generous paid time off

Free parking with electric charging stations

Discounts at various retailers

Qualifications

• 2+ years of experience in medical billing/coding or healthcare sales.
• Strong analytical and problem-solving skills are essential.

Responsibilities

• Educate healthcare providers on coding and payment to facilitate access.
• Analyze reimbursement issues and support the sales team.

Skills

Medical Billing/Coding

Healthcare Sales

Analytical Skills

Communication Skills

Problem-Solving Skills

Education

BS/BA Degree

Tools

MS Office

Job description

We are a leading regenerative medicine company in the advanced and acute wound care space and are always looking for exceptional talent. Join a company where you will have an opportunity to grow professionally and personally and give strength to others by Empowering Healing.

Our advanced wound care products are specially developed for the successful treatment of chronic and acute wounds. Our comprehensive portfolio of skin substitutes and other regenerative medicine products empower our patients with life-changing solutions. Our strength is giving others strength.

Learn more about Careers at Organogenesis

What you will achieve:

Organogenesis is seeking an experienced and dynamic individual for a Field Reimbursement Manager (FRM). This position will operate as the subject-matter expert on coding, coverage, and payment issues related to the Organogenesis portfolio of products. The FRM has a comprehensive understanding of all aspects of reimbursement models (coding, coverage, and payment), including Medicare A, B, C, and D benefit designs, Medi-gap, physician fee schedule, and the ability to locate applicable coverage policies. Demonstrated advanced billing competencies include CPT, ICD-10, HCPCS coding, and EOB interpretation. The role involves negotiating and executing sophisticated site-of-care discussions related to healthcare topics, product access, and reimbursement. This is a remote position reporting to the Field Reimbursement Director, ideally based near a major airport in the Central North U.S. (MO, KS, IA, ND, SD).

How you will achieve it:

• Educate healthcare providers and staff on coding, coverage, and payment to facilitate patient access to Organogenesis products.
• Analyze reimbursement issues and serve as a resource for the sales team and management.
• Coordinate with internal teams on patient cases and provider interactions.
• Collaborate cross-functionally with Sales, Marketing, Payer/Policy, Leadership, and Medical Affairs, adhering to policies and procedures.
• Review provider claim forms for errors and guide corrective actions.
• Analyze remittance advice for denied claims and assist providers with appeals.
• Mentor and serve as escalation point for Benefit Verification/Benefit Assurance teams.
• Conduct business reviews and claims analysis for providers.
• Educate senior leadership on the benefits of using Organogenesis products for wound treatment.
• Onboard new customers.

Requirements

What you will need to achieve it:

• BS/BA degree required.
• At least 2 years of experience in medical billing/coding, healthcare sales, hospital revenue cycle, or insurance/payer roles.
• Strong analytical, problem-solving, and relationship-building skills.
• Excellent communication, organizational, and leadership abilities.
• Ability to travel up to 60-70%; face-to-face interaction preferred.
• AAPC billing/coding certification is preferred.
• Strong commitment to building customer relationships.
• Strategic thinking and consultative skills.
• Ability to manage multiple projects simultaneously.
• Proficiency in MS Office.
• Exceptional written and verbal communication skills.
• Principled, honest, creative, enthusiastic, independent, curious, coachable, and solution-oriented mindset.

What can we offer you?

• 401(k) with immediate vesting and employer match.
• Comprehensive medical, dental, and vision coverage from day one.
• Flexible Spending or Health Savings Accounts.
• Company-paid insurances and voluntary options.
• Paid parental and maternity leave, adoption benefits.
• Education assistance up to $5,000/year.
• Wellness programs, mental health training, and on-site health services.
• Employee Assistance Program.
• Generous paid time off, holidays, and floating days.
• Free parking with electric charging stations (Canton and La Jolla).
• Discounts at various retailers and service providers.

Physical Demands

• Sitting for extended periods and working on a computer.
• Ability to lift up to 15 pounds.
• Travel up to 70% to meet with customers and field teams.

Environmental Conditions

We are an equal opportunity employer. All qualified applicants will receive consideration without regard to age, sex, gender identity, sexual orientation, race, religion, national origin, disability, veteran status, or other protected characteristics.