Field Reimbursement Manager
Burlingame, San Mateo County, California, 94012, USA
Listed on 2025-12-22
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Healthcare
Healthcare Administration, Healthcare Management, Medical Billing and Coding
Position:
Field Reimbursement Manager (FRM)
Functional Area:Reimbursement and Market Access
Department:Commercial
Reports to:Senior Director, Market Access
Location:US Remote (Preferred: Western U.S., and close to major airport)
Company BackgroundMagnus Medical is a neurotechnology company revolutionizing depression treatment through precision-guided brain stimulation. Its flagship innovation, SAINT® (Stanford Accelerated Intelligent Neuromodulation Therapy), is an FDA-authorized, non-invasive therapy for treatment-resistant depression. SAINT uses advanced imaging and AI-based targeting to deliver individualized transcranial magnetic stimulation over five days. Magnus is driven by the mission to restore hope and improve outcomes for people living with severe mental health conditions.
Role DescriptionThe Field Reimbursement Manager is Magnus Medical’s primary field-based expert in billing and reimbursement, supporting healthcare providers, administrators, and billing professionals in successfully navigating coverage and payment for our breakthrough neuromodulation technology. This role plays a critical part in ensuring accurate, compliant coding and billing practices while promoting a clear understanding of payer requirements and workflows.
In addition to delivering hands‑on customer education, the Field Reimbursement Manager provides support across the entire reimbursement lifecycle including prior authorization, claims submission, appeals, and denial management. They work closely with internal and external teams to align strategies, tools, and messaging to support provider success. This includes sharing real‑time field insights and working together to proactively address payer‑specific challenges, streamline authorization workflows, troubleshoot claim denials, and optimize appeal strategies.
EssentialJob Duties and Responsibilities
- Support the commercial team by addressing coding, billing, and reimbursement concerns throughout the sales, onboarding, and implementation process.
- Conduct virtual and onsite meetings with customers to educate on appropriate use of procedure codes, documentation requirements, and billing best practices for SAINT.
- Collaborate with revenue cycle teams and relevant stakeholders to ensure clean claims submission and timely reimbursement.
- Review and interpret medical records to assess alignment with payer medical policies and documentation standards.
- Partner with internal and external stakeholders to identify, anticipate, and resolve reimbursement‑related challenges that impact patient access and provider adoption.
- Work closely with external teams to align on payer strategy, track field‑level trends, and jointly address prior authorization, claims, denials, and appeals support needs for the provider sites.
- Work closely with the field sales team to identify provider sites that may benefit from reimbursement education, claims support, or workflow optimization.
- Address coverage, access, and reimbursement questions from provider accounts in collaboration with external teams, consistent with policy and compliance requirements.
- Perform periodic claims reviews with practices to help ensure proper reimbursement and proactively identify any underpayments or denials.
- Maintain a strong understanding of Magnus policies, payer requirements, and the evolving reimbursement landscape to perform all duties in a compliant and informed manner.
- Stay current on market access and payer trends impacting behavioral health and neuromodulation technologies.
- Provide relevant reimbursement and access insights to key stakeholders, including practice administrators, billing staff, and providers, to support efficient patient access to SAINT.
- Deep knowledge of coding and billing practices within the U.S. healthcare system, including Medicare, Medicaid, and commercial payers
- Experience guiding providers in adding new therapies or technologies into the hospital/professional charge master, ensuring correct revenue code and HCPCS mapping
- Revenue Code Knowledge:
Strong understanding of revenue codes and their appropriate alignment to procedures and devices. - Strong understanding of behavioral health and…
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