Reimbursement Specialist

Össur

13d•$68,518 - $101,557•Remote

About The Position

Monitor, assess, and report on provider, payor, and legislative trends and developments. Manage day-to-day reimbursement activities to achieve key business objectives. Maintain existing reimbursement services and develop new ones. Work cross-functionally with Ossur’s Chronic Solutions (Ossur/College Park/Fior & Gentz) Business Area to develop new reimbursement services and training to targeted customers. Increase customer recognition of our companies as providers of industry-leading reimbursement resources. This is a remote-eligible position in the following states: CA, CT, FL, GA, NY, OH, OR, RI, VI, WV.

Requirements

5+ years of experience in medical device reimbursement, market access, reimbursement policy, healthcare provider, and/or healthcare payer
BS/BA degree
Strong understanding and working knowledge of private, federal, and state healthcare coverage
Ability to review medical records and assess their compliance with payer coverage requirements
Proven ability to work cross-functionally in a large organization
Demonstrated ability to take initiative and seek guidance when appropriate
Demonstrated strong written and oral communication skills in group and one-on-one settings
Strong analytical skills required
Computer skills required, including Outlook, Word, Excel, and PowerPoint
Ability to travel: 20%

Nice To Haves

Prior experience with O&P facilities and/or physician practices preferred

Responsibilities

Provide appropriate support to external customers with reimbursement questions about Ӧssur products.
Develop appropriate reimbursement materials regarding our companies’ products for customers.
Assess and implement new reimbursement programs/resources/services that support our companies’ customers.
Assist customers in obtaining authorization and writing appeals
Update Ӧssur, College Park, and Fior & Gentz Sales & Marketing staff re. changes in payor policies affecting our customers’ access to our products.
Work cross-functionally with our companies’ product management re. reimbursement issues / submissions to government contractors (e.g., PDAC).
Participate in DME MAC Advisory Council meetings.
Attend DME MAC educational meetings.
Exercise good use of company funds and property within the set guidelines.
Maintain an honest and professional attitude as the company’s representative at all times.
All employees must be aware, have knowledge and shall have received general training in Ӧssur’s Quality requirements. Training takes place in the Onboarding process and in New Employee Orientation. More specific Quality training is job specific. All training related to the quality management system is done in accordance with the Training Management Process (QM1681).
Contribute to a safe working environment by maintaining own workspace and reporting any potential hazards.
Adhere to Company’s safety rules
Adhere to Company Values – Honesty – Frugality – Courage