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Reimbursement specialist Jobs in Atlanta, GA

Last updated: 18 hours ago
  • Promoted
Reimbursement Manager - Southeast (REMOTE)

Reimbursement Manager - Southeast (REMOTE)

Inspire Medical Systems IAtlanta, GA, US
$148,000.00–$185,000.00 yearly
Remote
Full-time
Reimbursement Manager - Southeast.We are only considering remote candidates in the following locations : AL, GA, NC, SC, TN. Inspire is the first of its kind medical device designed to make a differe...Show moreLast updated: 10 days ago
  • Promoted
EXECUTIVE DIRECTOR OF CLINICAL REIMBURSEMENT

EXECUTIVE DIRECTOR OF CLINICAL REIMBURSEMENT

PruittHealthGA, United States
Full-time
The Executive Director of Clinical Reimbursement leads and oversees the clinical reimbursement process across the organizations long-term care and post-acute care facilities.This role ensures compl...Show moreLast updated: 3 days ago
Director Reimbursement Design & Market Evaluation

Director Reimbursement Design & Market Evaluation

MediabistroAtlanta, GA, United States
$236,000.00 yearly
Full-time
This job owns the strategic design and analytical approach to reimbursement.In order to be successful, the incumbent will work closely with stakeholders across the enterprise in the development and...Show moreLast updated: 5 days ago
  • Promoted
Access Reimbursement Manager - Washington DC / Georgia / South Carolina / Raleigh-Durham

Access Reimbursement Manager - Washington DC / Georgia / South Carolina / Raleigh-Durham

Madrigal Pharmaceuticals CorporationAtlanta, GA, US
$170,000.00–$220,000.00 yearly
Full-time
Madrigal is a biopharmaceutical company pursuing novel therapeutics for non-alcoholic steatohepatitis (NASH), also known as metabolic dysfunction associated steatohepatitis (MASH).Our first therapy...Show moreLast updated: 11 days ago
  • Promoted
Product Specialist

Product Specialist

Millennium Information TekAtlanta, GA, United States
Full-time
Millennium Information Tek is seeking a Product Specialist on behalf of their client, the Georgia Superior Court Clerks' Cooperative Authority (GSCCCA). The Product Specialist serves as a subject ma...Show moreLast updated: 2 days ago
  • Promoted
Lockbox Specialist

Lockbox Specialist

BCforwardCollege Park, GA, United States
$18.00 hourly
Full-time +1
BCforward is currently seeking a highly motivated.Please note this is the target date and is subject to the change.BCforward will send official notice ahead of a confirmed start date.Please note th...Show moreLast updated: 2 days ago
  • Promoted
Contract Specialist

Contract Specialist

The Building PeopleAtlanta, GA, US
Full-time
The Building People, LLC, has a position open for a full-time.T The Contract Specialist serves customer needs through professional placement of Government Contracts, including a full range of Pre-a...Show moreLast updated: 3 days ago
Director of Government Reimbursement

Director of Government Reimbursement

PiedmontAtlanta, Georgia
Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare / Medicaid / Tricare cost reports, surveys...Show moreLast updated: 30+ days ago
Field Reimbursement Executive - GA / SC

Field Reimbursement Executive - GA / SC

UCBAtlanta, Georgia, United States
$150,000.00–$200,000.00 yearly
Georgia / W South Carolina territory .The Field Reimbursement Executive (FRE) is responsible for ensuring that appropriate patients have access to UCB products and Patient Services.The FRE will wor...Show moreLast updated: 30+ days ago
Director, Reimbursement & Payor Policy

Director, Reimbursement & Payor Policy

NovocureAtlanta, GA, US
Full-time
ESSENTIAL DUTIES AND RESPONSIBILITIES : .Develop and implement strategies to enhance coverage and reimbursement of Novocure’s products in commercial insurance plans. Work closely with the Payer Contra...Show moreLast updated: 30+ days ago
Director Reimbursement Design & Market Evaluation

Director Reimbursement Design & Market Evaluation

Highmark HealthAtlanta, GA, United States
$236,000.00 yearly
Full-time
This job owns the strategic design and analytical approach to reimbursement.In order to be successful, the incumbent will work closely with stakeholders across the enterprise in the development and...Show moreLast updated: 5 days ago
  • Promoted
Procurement Specialist

Procurement Specialist

Cali KultureAtlanta, GA, United States
Full-time
This individual will work closely with the purchasing, operations, and compliance teams to ensure we maintain a diverse, reliable, and cost-effective supply chain. The ideal candidate will have a de...Show moreLast updated: 22 days ago
  • Promoted
  • New!
Compliance Specialist

Compliance Specialist

City of AtlantaAtlanta, GA, US
$51,035.56–$68,132.47 yearly
Full-time
Department of Grants and Community Development (DGCD).The Compliance Environmental Review Specialist will report to the Grant Services Assistant Manager, Compliance (LEAD).Compliance Specialist Gen...Show moreLast updated: 18 hours ago
Government Reimbursement & Cost, Manager

Government Reimbursement & Cost, Manager

Emory HealthcareAtlanta, GA
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that e...Show moreLast updated: 30+ days ago
  • Promoted
PHYSICIAN / ONCOLOGY / GEORGIA / LOCUM OR PERMANENT / MEDICAL ONCOLOGIST - SE GEORGIA - EMPLOYED, TUITION REIMBURSEMENT JOB

PHYSICIAN / ONCOLOGY / GEORGIA / LOCUM OR PERMANENT / MEDICAL ONCOLOGIST - SE GEORGIA - EMPLOYED, TUITION REIMBURSEMENT JOB

ConfidentialGA, United States
Full-time
Hospital is looking for a Board Certified or Board Eligible Medical Oncologist to join their team.Cancer Center brings the latest in chemotherapy and radiation technology to the community.Clinic in...Show moreLast updated: 2 days ago
Provider Reimbursement Admin

Provider Reimbursement Admin

Elevance HealthW PEACHTREE ST NW,ATLANTA,GA
Full-time
Elevance Health office location.Elevance Health office 1-2 days per week.The rest of the time would be working remotely (from home). Must live within 50 miles of one of our Elevance Health office lo...Show moreLast updated: 30+ days ago
Field Reimbursement Manager, Hemophilia, Southeast

Field Reimbursement Manager, Hemophilia, Southeast

SanofiAtlanta, GA
$150,000.00–$170,000.00 yearly
Remote
Full-time
Field Reimbursement Manager, Hemophilia, Southeast.FRMs will be subject matter experts on Sanofi’s rare blood disorder and Hemophilia patient support program, payer claim processes, billing and cod...Show moreLast updated: 30+ days ago
  • Promoted
Grants Specialist

Grants Specialist

Sacred Soil MissionAtlanta, GA, United States
Full-time
Advancing Environmental and Sustainability Projects with Sacred Soil Mission.Sacred Soil Mission is a nonprofit organization dedicated to nurturing a sustainable future through environmental stewar...Show moreLast updated: 27 days ago
  • Promoted
Field Reimbursement Manager - Neurology - Carolinas - GA, NC, SC, TN

Field Reimbursement Manager - Neurology - Carolinas - GA, NC, SC, TN

Sanofi GroupAtlanta, GA, United States
$147,500.00–$196,000.00 yearly
Full-time
Field Reimbursement Manager - Neurology - Carolinas - GA, NC, SC, TN.At Sanofi, we are dedicated to transforming patient health through chasing the miracle of science. As a prominent pharmaceutical ...Show moreLast updated: 4 days ago
Reimbursement Manager - Southeast (REMOTE)

Reimbursement Manager - Southeast (REMOTE)

Inspire Medical Systems IAtlanta, GA, US
10 days ago
Salary
$148,000.00–$185,000.00 yearly
Job type
  • Full-time
  • Remote
Job description

Job Description

Job Description

Reimbursement Manager - Southeast

  • We are only considering remote candidates in the following locations : AL, GA, NC, SC, TN

ABOUT INSPIRE MEDICAL SYSTEMS

Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients’ lives through sleep innovation. We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect. With positive persistence at our core, we are committed to all those we serve.

WHY JOIN OUR FAST-GROWING TEAM

At Inspire, we value people – your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people-first culture by offering hybrid work schedules, excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement.

If you’re passionate about making a difference in people’s lives and want to work with innovative technology, come be a part of our great team!

ESSENTIAL JOB FUNCTIONS

Are you ready for a challenging, yet impactful role? We are recruiting for a Reimbursement Manager-Southeast to join our team. In this provider / customer facing role, you will be instrumental in providing support to optimize Inspire access and minimize reimbursement barriers for patients and providers. You will be building relationships with providers, providers’ offices, Ambulatory Surgery Centers, hospital outpatient facilities, as well as other cross functional internal and external stakeholders. You will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. You will also actively engage with new accounts for billing and coding training, audit education, and program review support.

OPPORTUNITIES YOU WILL HAVE IN THIS ROLE

  • Be the subject matter expert on coding, coverage, and payment for Medicare and commercial payers and impact patient access through complex problem solving
  • Effectively communicate and explain Inspire reimbursement education, support, and resources to customers in multiple sites of service including administrators
  • Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues
  • Respond to client and internal partner requests for customer site visits, Inspire program business reviews, and reimbursement needs / support
  • Establish and maintain customer relationships through reimbursement related engagement and cross-functional partnerships including Sales, Marketing, Medical Education, and Legal and Compliance, etc.
  • Execute on access and reimbursement strategic priorities, working with business partners to identify and prioritize key accounts for alignment of reimbursement support to achieve goals
  • Collaborate in the development of reimbursement presentations for site visits, trainings, client presentations and other meetings as appropriate
  • Keep abreast of ever-changing market dynamics and industry trends Inspire related impacts regarding to CMS and commercial payers
  • Work in a fast-paced environment and manage additional related responsibilities based on organizational needs
  • Build a culture of compliance that ensures that all activities are fully aligned with company quality system procedures / policies, applicable laws, regulations, and industries standards
  • WHAT YOU CAN BRING TO OUR GREAT TEAM

    Required :

  • Bachelor’s degree in business, science or healthcare administration required
  • 5+ 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 30-40%
  • Preferred :

  • Implantable medical device experience
  • Experience with Neurology products
  • Coding certification (CPC, COC)
  • BENEFITS AND OTHER COMPENSATION

    Inspire offers a highly competitive benefits package including ( general description of the benefits and other compensation offered ) :

  • 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.
  • All employees have the opportunity to participate in the ownership and success of Inspire. Employees at all levels can participate through equity awards and the Employee Stock Purchase Program.
  • SALARY

    The salary for this position is expected to be between $148,000 - $185,000 and will be offered at a level consistent with the experience and qualifications of the candidate. This information reflects the anticipated salary range for this position at the time of posting. The salary range may be modified in the future and actual compensation may vary from the posting based on various factors such as geographic location, work experience, education and / or skill level.

    Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, pregnancy or childbirth, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non-discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis.

    Inspire Medical Systems is an  equal opportunity  employer with recruitment efforts focused on ensuring a diverse workforce. Applicants with a disability that need accommodation to complete the Inspire Medical Systems application process should contact Human Resources at 844-672-4357 or email careers@inspiresleep(dot)com

    Inspire Medical Systems participates in E-Verify.