Field Reimbursement Manager

Respicardia, ZOLLMED.com

At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.

The Respicardia division of ZOLL Medical Corporation is focused on helping people with central sleep apnea get access to a therapy to restore a more normal breathing pattern during sleep and give them better quality of life. We develop breakthrough therapies for an impactful disease that is severely underdiagnosed and often untreated.

As we continue to grow, those who join our team will work alongside motivated people who care about others, put patients first and are dedicated to high-quality and innovative solutions.

Job Type

Remote

Job Summary

This position is responsible for collaborating closely with Sales and Marketing team members to support physicians and accounts providing the remedē System with reimbursement and patient access. This position will report to the Director of Market Access.

Essential Functions

• Take initiative with Field Sales and the remedē Patient Access Program to resolve reimbursement issues with hospital/physician offices and where appropriate, individual patient cases, including patient access and coverage assistance.
• Educate hospitals/physician offices on coverage, coding and payment, including key changes that impact product access for patients.
• Provide reimbursement support to expand therapy access, including supporting the remedē reimbursement hotline.
• Work cross-functionally with medical/scientific affairs and commercial teams to support the company’s goals in obtaining positive coverage decisions, including developing relationships with key physicians, hospital administrators, and other influencers.
• Support policy efforts through participation in specialty society and trade organization work groups and meetings and identifying physicians to assist with reimbursement or payor coverage policy advocacy.

Required/Preferred Education and Experience

• Bachelor's Degree required
• 5+ years of proven experience in a market access/reimbursement role, preferably for Medical Device
• Certified Professional Coder certification or experience in billing/coding/revenue cycle management is highly desirable

Knowledge, Skills and Abilities

• Detailed knowledge of medical device billing, coding (e.g., CPT, HCPCS, ICD-10).
• Detailed knowledge of payer coverage requirements, prior authorization, claim submission, adjudication and appeals processes.
• Broad knowledge of Medicare, managed care, third party payers and Medicaid.
• Understanding of hospital and physician office financial systems and management practices.
• Outstanding communications and interpersonal skills including developing relationships at all levels in an organization and directly influencing business objectives.
• High attention to detail and customer support.
• Knowledge/experience in Sleep Medicine and/or Cardiovascular therapies is highly desirable.
• Demonstrated ability to make decisions independently and to accomplish tasks in a fast-paced environment.
• Team-player mindset and collaborative problem-solver.

Travel Requirements

• Ability to travel up to 30% of working hours

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Talking - Occasionally
• Hearing - Occasionally
• Repetitive Motions - Frequently

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.