Field Reimbursement Manager

Field Reimbursement Manager

Permanent  

Creating foldable displays, advancing medical innovations, or giving new life to precious metals – at Heraeus, we empower our customers to stay ahead of the curve. As a family-owned global technology leader, we take pride in being the invisible force driving innovation. Whether in production, research, sales, or administration, we deliver world-class quality across key industries: Metals & Recycling, Healthcare, Semiconductor & Electronics, and Industrials. With a strong global presence, including a significant footprint in the United States, Heraeus employs approximately 16,400 people across 40 countries, all dedicated to shaping the future of technology and industry. 

About Heraeus

Solutions from the Heraeus Group provide faster internet, rid water of germs, and keep hearts beating in time. As a broadly diversified and globally leading family-owned technology company, we combine materials expertise and technological leadership to create the most diverse products, all with one thing in common: World-class quality. Working with customers around the world, we shape the future and provide vital innovations in the areas of Metals & Recycling, Healthcare, Semiconductor & Electronics and Industrials. Heraeus is one of the top 10 family-owned companies in Germany and has a team of around 17,200 employees in 40 countries.

About Engineered Tissue Solutions

Engineered Tissue Solutions was acquired in 2021 by the Heraeus Group, a broadly diversified family-owned technology company. Learn more about Heraeus Group at www.heraeus.com.

The following challenges await you:

• Provide virtual and in-person reimbursement support activities for health care providers (HCPs) in order to help facilitate appropriate patient access to ETS products.
• Act as a key liaison between HCPs, sales reps, and a 3rd party reimbursement service provider to resolve day-to-day reimbursement issues, improve customer service, and maximize reimbursement success.
• Serve as the subject matter expert on coding, coverage, and payment issues related to Mirragen products. 
• Educate and support customers on billing, coding, and national & local payer coverage policies.
• Work closely with a 3rd party reimbursement service that provides benefits verification, prior authorization, and hotline support for healthcare providers.  Identify and implement improvements the interfacing processes between the 3rd party services and ETS customers and sales teams.
• Deliver high-impact training and onboarding to new providers and sales team members, with a focus on reimbursement processes, policy navigation, and claim documentation. Develop and maintain relationships with HCP staff responsible for billing and reimbursement functions. 
• Support development of payer strategies and coverage expansion initiatives for skin substitute and surgical wound care application Monitor and analyze reimbursement case results to help identify opportunities to improve reimbursement success rates and ETS product access.
• Work cross-functionally to create customer-facing collateral that supports customer and field sales education, provider reimbursement, and payer advocacy initiatives.
• Understand and comply with all industry, payer, and corporate policy guidelines and procedures.

Your Profile:

• 5-10+ years’ experience in healthcare reimbursement, coding and market access; preferably in wound care.
• Bachelor’s or advanced degree in business, healthcare administration, health sciences, engineering, or related field.
• Experience in a small company or start-up environment.
• Effective and efficient in a remote work environment
• Certified Professional Coder is a plus