Reimbursement Access Manager

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iRhythm Technologies, Inc.

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1001 - 5000 employés

Fondée en 2006

⚕️ Assurance santé

🧬 Biotechnologie

Healthcare Insurance • Biotechnology • Medical Technology

iRhythm Technologies, Inc. est une entreprise de technologies médicales spécialisée dans les solutions de surveillance cardiaque. Leur produit phare, le moniteur ECG Zio, est conçu pour le confort et la compliance du patient, permettant aux prestataires de soins de santé de fournir des diagnostics d'arythmie précis grâce à une analyse de données avancée et à l'IA. Le service complet d'iRhythm transforme l'expérience de surveillance cardiaque, facilitant de meilleurs résultats pour les patients et des flux de travail efficaces pour les professionnels de santé à travers le monde.

Description

• Serve as the primary field-facing contact for all access and reimbursement-related inquiries from assigned accounts. • Analyze and resolve reimbursement barriers, working cross-functionally with providers, internal revenue cycle teams, and payers when needed. • Track and report access challenges, trends, and opportunities in real-time. • Train provider staff on co-pay support, prior authorization processes, and coverage requirements to reduce delays and denials. • Act as a regional subject matter expert on payer policy coverage, reimbursement pathways, acquisition models, and claims workflows. • Support pull-through of payer coverage policies, LCM decisions, and ensure alignment with commercial and market access strategy. • Identify evolving payer policies or state/federal regulation shifts and proactively communicate their impact to internal stakeholders. • Collaborate with the Market Access team to build and execute regional access strategies. • Maintain deep knowledge of CMS policies (especially Medicare Parts B & D), commercial payer processes, and HIPAA compliance. • Use data to identify trends in denials, access delays, or payer barriers, and share insights to improve access pathways.

🎯 Exigences

• Bachelor’s degree in healthcare administration, Life Sciences, Business, or related field preferred, commensurate experience may be considered. • 5+ years in healthcare reimbursement, revenue cycle management, market access, or payer relations. • Strong understanding of coding (CPT/ICD-10), billing, coverage policies, and payer adjudication. • Experience interfacing with healthcare providers in a consultative, field-based role. • Proven ability to manage complex accounts, including IDNs, large health systems, and specialty practices. • Proficient in Microsoft Office Suite, CRM systems, and virtual communication platforms. • The ability to travel 50% or more based on territory needs. • CPC or relevant coding/billing certification preferred. • Specialty pharmacy or diagnostics experience strongly preferred. • Prior experience with field-based roles in Market Access or Access & Reimbursement. • Knowledge of Medicare Advantage, Medicaid, and commercial payer landscape. • Strong business acumen and the ability to connect reimbursement strategy to commercial growth.

🏖️ Avantages

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Professional development opportunities