Reimbursement Manager

Summary Statement

For more than a century, Ottobock has pursued the mission of helping people living with limb loss or mobility challenges regain or maintain their freedom of movement. We do this through the development of leading prosthetic, orthotic and wheelchair innovation, and an unwavering commitment to delivering superior patient care experiences. As a growing healthcare company, we continue to invest in both our people and new service offerings. With more than 10,000 employees worldwide and 900 across North America, we are dedicated to advancing the O&P industry and improving the lives of the people served by it.

The purpose of this position is to support and offer expertise to Otto Bock's Orthotic and Prosthetic Sales Representatives, customers, and all other internal departments to resolve reimbursement issues and provide documentation services, technical support, education, communication, and training. The reimbursement consultant will manage the special process developed for high-tech products to support the reimbursement strategy and new product introduction.

Note: Position is remote - must be currently located in the U.S.

Duties & Responsibilities

• Assist customers in developing and submitting claims and authorization materials to ensure successful reimbursement and sales.
• Provide training and resources to address customer challenges and reimbursement issues.
• Evaluate opportunities to enhance reimbursement approaches in alignment with company goals.
• Collaborate with sales teams to formulate provider reimbursement strategies per territory/customer.
• Independently manage tasks with a positive attitude and effective communication skills.
• Coordinate documentation requirements to ensure successful patient outcomes.
• Resolve conflicts constructively and ensure accuracy in work and information.
• Proactively manage projects and customer relationships, prioritizing workload to meet deadlines.
• Provide guidance on coding, coverage, and reimbursement solutions to customers.
• Identify trends, create solutions, and handle escalations related to reimbursement issues.
• Prepare customized appeal letters and letters of medical necessity.
• Research billing issues, trends, and risks, serving as an internal resource for product areas.

Supervisory and/or Leadership Responsibilities:

You will enjoy a comprehensive range of supervisory activities, including selection, training, evaluation, counseling, and termination procedures when applicable. This pivotal role extends to effectively communicate organizational policies and information to subordinates, ensuring clarity regarding their responsibilities.

Qualifications

The ideal candidate will possess a rich repertoire of skills, knowledge, and abilities to thrive in this dynamic role:

• Familiarity with coding terminology and processes (CPT, HCPCS, ICD-9) and reimbursement.
• Ability to review health insurance forms and provider encounter forms to troubleshoot billing errors.
• Proficiency in locating Medicare and private insurance policies.
• Strong communication skills.
• Strong problem-solving skills and ability to adapt to change.
• Effective communication and interpersonal skills.
• Proficiency in math and data analysis.
• Associate degree or equivalent experience required.

Minimum Qualifications - (Education, Experience, Certification, & Licensure):

• Associate degree or equivalent experience

Benefits

Medical

Vision

Dental

Health savings accounts with employer contribution

Flexible spending account options

Company-paid life insurance policy

Paid time off

Company holidays

Floating holidays

100% company-paid short & long-term disability

401k match up to 3.5%

Paid parental leave

Compensation Data

Salary range disclosure: $60-90k annual salary