Field Reimbursement Manager - Remote
Remote
Position Summary
The Field Reimbursement Manager (FRM) is a field-based specialist who supports accurate coding, billing, and payer contract navigation for Flex Vascular products. The FRM travels to hospital, ASC, and physician-office accounts to educate billing and coding staff, troubleshoot claim and coverage issues, and help customers work through payer contract questions and updates. The FRM will also assist in on-boarding the patient access program and address patient access issues when they arise. This is a reimbursement education and support role.
Key Responsibilities
Field Support & Account Education
- Travel to target accounts (hospitals, ASCs, physician offices) to support correct utilization, coding, and billing of Flex Vascular products.
Payer & Contract Navigation
- Help customers understand and work through payer contract issues, coverage policy updates, and prior authorization or documentation requirements.
Onboarding to Patient Access Program
- Account activation and readiness: Assess each account's stage — discovery, readiness, activation, or optimization — and tailor support to the customer's workflow, payer mix, resources, and reimbursement confidence.
Internal Coordination
- Partner with Sales, Market Access, Marketing, and Regulatory/Quality (RA/QA) to ensure all reimbursement education materials and communications are accurate, compliant, and non-promotional.
Training & Compliance
- Stay current on Medicare, Medicaid, and commercial payer policies affecting Flex Vascular products.
Qualifications Required
- Bachelor's degree or equivalent experience in a relevant field (business, health sciences, or related).
- 5+ years in a client-facing reimbursement or field support role (e.g., medical device reimbursement, coding/billing, market access, or related field-based healthcare role), with demonstrated skill in payer navigation (benefit verification, prior authorization, appeals, and coverage policy interpretation) and direct provider/practice support (on-site education, troubleshooting claims, and guiding staff through coding and billing questions).
- Working knowledge of Medicare Part A/B, Medicaid, and commercial payer reimbursement structures for medical devices/procedures.
- Familiarity with HCPCS/CPT coding conventions and claims processes; ability to learn Flex Vascular's specific product codes (e.g., C1600) quickly.
- Strong communication and relationship-building skills with clinical, billing, and administrative staff.
- Ability to travel extensively (60–80%) within an assigned territory
- Valid driver's license and ability to travel by car and air as required.
Preferred
- Prior experience specifically in vascular access, interventional, or peripheral vascular device reimbursement.
- Certified coding credential (e.g., CPC) or equivalent hands-on billing/coding background.
- Experience working cross-functionally with Sales, Market Access, and Regulatory/Quality in a regulated medical device environment.