GE HealthCare Field Reimbursement Manager North Central Region – Market Access 

Remote, Remote 

508589122

This position is field-based and will cover the East region with travel up to 40% required. This position will report to the Director of Patient Services.
Job Description

Roles and Responsibilities

· Will be subject matter expert on all reimbursement support programs, payer claim processes, and access issue resolution.

· Develop & perform On-boarding & In-service presentations (in-person and virtual) with new and existing customer accounts.

· Responsible for proactive customer (prescribers, office staff, imagers, etc.) education about the PDx portfolio’s Payer Coverage policies, reimbursement processes, patient services, and benefit investigation.

· Primary point of contact responsible for resolving general and patient specific access and reimbursement challenges by leveraging the required internal and external resources.

· Develop Access & Reimbursement tools and Guides and disseminate approved content related to product coverage, claims processing, prior authorizations, and appeals.

· Maintain ongoing communication with the Market Access Account Executives and Sales to provide field intelligence and prioritize key accounts regarding account interactions.

· Attend conferences to promote GEHC’s Patient Support Services.

Required Qualifications

· Bachelor’s degreeor equivalent

· Minimum of 5 years’ experience in the US healthcare medical device, or pharmaceutical sector.

· Minimum of 3 years’ US FRM experience

· Knowledge of and experience with medical benefit reimbursement and payment mechanisms including medical coding, claims and billing processes.

· Comprehensive knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage/ reimbursement dynamics.

· Familiarity with provider office and hospital outpatient department reimbursement, regulations, customers, and account-based planning.

· Knowledge of the radiology authorization process including but not limited to understanding HCPCS, CPT, and ICD-10 codes and associated regulations.

· Experience working with HUB or reimbursement call center.

· Ability to establish close collaboration with strategic partners and peers and lead collaborative initiatives.

· Problem solving and decision-making skills with the ability to “think on feet” and suggest alternatives and solutions.

· Strong customer focus with an ability to build relationships, identify and resolved (access) challenges, and manage complex project skills.

· Ability to operate independently and successfully as a leader in a matrix environment.

· Highly organized, strategic thinker with excellent verbal and written presentation skills.

· Ability to travel to connect with customers, and field sales teams.

· Demonstrated competence with CRM systems, PowerPoint, Excel & Word.

Desired Characteristics

· Certified Professional Coding Certification.

· Experience in radiopharmaceuticals, imaging, or diagnostics.

· Product launch experience.LI-DN1
LI-Remote