Reimbursement Manager

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Location:

Austin, TX, US, 78758

Contract Type: regular

Scope of employment: full-time

Contact Information:

Job

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.

• 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.

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 problem-solving skills and ability to adapt to change.
• Effective communication and interpersonal skills.
• Proficiency in math and data analysis.

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

• Medical
• Vision
• 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

Salary range disclosure: $60-90k annual salary

We believe in mutual respect, enjoyment at work, and a culture where everyone feels valued. We are committed to diversity, equity, and inclusion, and welcome all applications - regardless of gender, age, nationality, disability, ethnic or social background, religion, or sexual orientation. We give special consideration to individuals with severe disabilities when equally qualified.

Ottobock’s products and services combine over 100 years of tradition with outstanding innovation in the fields of prosthetics, neuro-orthotics, and exoskeletons. Ottobock develops innovative fitting solutions for people with limited mobility and is driving the digitalisation of the industry. Founded in Berlin in 1919, the company has business activities in 45 countries with nearly 9,300 employees worldwide and operates the largest international patient care network with around 400 patient care clinics.

Ottobock’s mission of improving freedom of movement, quality of life and independence is deeply rooted in the company’s DNA, as is its social commitment:
Ottobock has been a partner and supporter of the Paralympics since 1988.