Field Reimbursement Manager – South Region

🔥 14 hours ago

🌵 Arizona, Louisiana, +2 more states – Remote

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💵 $160k - $190k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 0%

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Logo of Inspire Medical Systems

Inspire Medical Systems

1001 - 5000 employees

Founded 2007

🏥 Healthcare

🏭 Manufacturing

🔧 Hardware

💰 $133.4M Post-IPO Equity - Inspire Medical Systems on 2020-04

Healthcare • Manufacturing • Hardware

Inspire Medical Systems is a medical technology company that develops and commercializes a proprietary, implantable neurostimulation system (Inspire Therapy) for the treatment of moderate to severe obstructive sleep apnea. The company focuses on minimally invasive solutions backed by FDA approval, clinical data, and payer coverage to reach patients through healthcare providers and payers.

📋 Description

• Provide support to optimize Inspire access and minimize reimbursement barriers for patients and providers • Build relationships with providers, providers’ offices, Ambulatory Surgery Centers, hospital outpatient facilities, and other stakeholders • Partner with internal prior authorization support services and field sales to meet customer needs • Communicate coverage challenges across payer channels and provide guidance to navigate potential hurdles • Engage new accounts for billing and coding training, audit education, and program review support • Serve as subject matter expert on coding, coverage, and payment for Medicare and commercial payers • Communicate Inspire reimbursement education, support, and resources to customers • Navigate and address account and patient access issues with internal and external stakeholders • Respond to requests for customer site visits, program business reviews, and reimbursement support • Establish customer relationships through reimbursement engagement and cross-functional partnerships • Execute access and reimbursement strategic priorities and identify key accounts • Develop reimbursement presentations for site visits, trainings, client presentations, and meetings • Monitor market dynamics, industry trends, CMS, and commercial payer impacts • Maintain compliance with company procedures, laws, regulations, and industry standards

🎯 Requirements

• Bachelor’s degree in business, science or healthcare administration required • 7+ years of experience in reimbursement/market access and/or Successful experience working with complex insurance payer claims, denials, and appeals (Medicare and commercial) • Demonstrated knowledge in coding, coverage, and payment for implantable medical devices across the healthcare landscape including HCPs, ASCs, hospitals • Experience engaging directly with HCPs in multiple sites of service and in group educational settings • Excellent communication and in person and virtual presentation skills to interface with customers, cross-functional partners, and internal reimbursement and prior authorization partners • Independent and team-oriented problem solving and diligent self-motivated follow up • Direct experience collaborating with multiple internal and external stakeholders and managing project • Ability to travel regularly and up to 25%

🏖️ Benefits

• Multiple health insurance plan options • Employer contributions to Health Savings Account • Dental, Vision, Life and Disability benefits • 401k plan + employer match • Identity Protection • Flexible time off • Tuition Reimbursement • Employee Assistance program • Equity awards • Employee Stock Purchase Program

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