Reimbursement Access Specialist

Date: Jul 22, 2021

Location: Northeast US (Remote based), NJ, US

Company: Teleflex

Expected Travel: Up to 25%

Requisition ID: 3828

 

About Teleflex Incorporated

Teleflex is a global provider of clinically effective medical technologies designed to improve the health and quality of people’s lives. We apply purpose driven innovation – a relentless pursuit of identifying unmet clinical needs – to benefit patients and healthcare providers. Our portfolio is diverse, with solutions in the fields of vascular and interventional access, interventional cardiology, surgical, anesthesia, cardiac care, interventional urology, urology, emergency medicine and respiratory care. Teleflex employees worldwide are united in the understanding that what we do every day makes a difference. For more information, please visit teleflex.com.

 

Interventional Urology – NeoTract is dedicated to developing innovative, minimally invasive and clinically effective devices that address unmet needs in the field of urology. As part of the Teleflex Interventional Urology business unit, NeoTract’s focus is on improving the standard of care for patients with benign prostatic hyperplasia (BPH) using the UroLift® System, a minimally invasive, permanent implant system that treats symptoms while preserving sexual function*1,2. The UroLift System is clinically proven to treat lower urinary tract symptoms due to BPH in men over the age of 45. The UroLift System lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue. More than 175,000 men have been treated with the UroLift System in select markets worldwide.** Join a dynamic, growing team that offers healthcare providers an array of medical technology solutions that make a difference in patients’ lives. 

 * No instances of new, sustained erectile or ejaculatory dysfunction in the FDA pivotal study.

** Management estimate based on product sales and average units per procedure

  1. Roehrborn, J Urology 2013 LIFT Study
  2. McVary, J Sex Med 2014

Indicated for the treatment of symptoms of an enlarged prostate up to 100cc in men 45 years or older. As with any medical procedure, individual results may vary. Most common side effects are temporary and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate and/or the inability to control the urge.1 Rare side effects, including bleeding and infection, may lead to a serious outcome and may require intervention. Speak with your doctor to determine if you may be a candidate.

Position Summary

The Reimbursement Access Specialist is a highly visible, front line position that will support members of the Reimbursement Department to assist in the execution of the department’s strategic plan. This position may interact directly with key management personnel, internal and external customers, KOLs and providers to assure maximum reimbursement and eliminate reimbursement barriers. The appropriate candidate relies on experience and judgment to plan and accomplish goals. Key areas of focus include triaging customer and sales team inquiries, assisting management and Regional Reimbursement Managers with identified projects, coordinating meetings and disseminating information on reimbursement for NeoTract products. This position will be instrumental in supporting and assisting the Reimbursement Team with payer relations and communications. This position answers questions and provides assistance to customers and the sales force for insurance claim processing and appeals. Candidates can be based in any state within the North Eastern United States. 

Principal Responsibilities

Customer Support
•    Direct customer interface
•    Identify trends in customer communications
•    Respond as needed to coding, coverage, payment and billing questions from     internal and external customers
•    Disseminate appropriate reimbursement tools as necessary to internal and external customers
•    Support the claims and appeals process including the tracking of claims and appeals
•    Create reports as requested
•    Refer complex reimbursement issues to the appropriate Regional Reimbursement Manager
•    Help to identify and facilitate physician/customer/patient advocacy for coverage initiatives
 

Support Reimbursement Team Members
•    Assist in the development and management of timelines for key department initiatives
•    Manage vendor projects: Work within approved project and budget plans, consulting agreements and within NeoTract policies to complete projects according to established timelines.
•    Work with Reimbursement Department and Marketing Department to maintain NeoTract website with up to date reimbursement tools and information.
•    Provide reimbursement materials to customers, sales team and reimbursement personnel as needed
•    Coordinate internal and external reimbursement communication and develop tools for internal and external customers.
•    Monitor Medicare and private payer web sites for policies relevant to NeoTract products and maintain a database of these policies
•    Oversee payer database
•    Assist in the coordination of payer meetings as needed
•    Support the development and implementation of training programs
•    Maintain reimbursement tools and materials
•    Maintain inventory of reimbursement tools
•    Support the development of reimbursement tools including internal review process
 

Education / Experience Requirements

•    Bachelor’s degree with a focus on reimbursement or equivalent work experience preferred
•    5+ years coding and billing experience, preferably medical device coding
•    Case Manager experience and/or exposure preferred
•    Strong understanding of medical device coding and reimbursement, Certified Professional Coder preferred
•    Strong understanding of private and government reimbursement policy and the evolving reimbursement environment including coverage development
•    Knowledge of HIPAA regulations
•    Ability and desire to successfully interact with all levels of management and healthcare professionals including medical office staff and physicians
•    Excellent verbal and written communication skills
•    Ability to collaborate effectively and participate in a team environment
•    Computer skills in Microsoft Word, PowerPoint, Excel, Outlook, etc. Ability to learn other programs as necessary such as databases
•    Strong organizational skills and attention to detail
•    Ability to work independently with minimal direct supervision
•    Able to travel
 

 

Teleflex, Inc. is an affirmative action & equal opportunity employer. D/V/M/F. Applicants will be considered without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality, sex, or veteran status. If you require accommodation to apply for a position, please contact us at: 262-439-1894.

Teleflex is the home of Arrow®, Deknatel®, Hudson RCI®, LMA®, Pilling®, Rüsch®, UroLift® and Weck® – trusted brands united by a common sense of purpose. Teleflex, the Teleflex logo, Arrow, Deknatel, Hudson RCI, LMA, Pilling, Rüsch, UroLift and Weck are trademarks or registered trademarks of Teleflex Incorporated or its affiliates, in the U.S. and/or other countries.

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