Reimbursement - Team Lead

Canton, MA

Job Req code: 642

Category: Customer Service

Organogenesis is a leader in regenerative medicine focused on empowering healing through the development, manufacturing and sale of products for the advanced wound care, and surgical and sports medicine markets. Our Canton, MA headquarters has an opening for a full time (40 hours) Reimbursement Team Lead. We offer a strong benefits package, opportunities for growth, and the chance to contribute to our mission: to provide an integrated portfolio of healing solutions that improve lives while lowering the overall cost of health care.

The Reimbursement Team Lead reports to the Reimbursement Supervisor and works a Monday-Friday schedule during regular business hours. This is a non-exempt position per the Fair Labor Standards Act (FLSA). 

KEY RESPONSIBILITIES 

  • Investigate patients' medical benefits and identify opportunities for prior authorizations 
  • Monitor performance of others and assist with team training
  • Exercise considerable latitude in setting functional priorities and assigning resources accordingly
  • Prepare and submit prior authorizations in a timely manner  
  • Effectively interface with hospitals, wound care centers and physicians to insure the highest level of reimbursement is attained 
  • Communicate and accurately document payer trends 
  • Foster partnerships with national accounts 
  • Monitor and update Medicare, Medicaid and Private Pay or policies and guidelines 
  • Monitor and communicate policy developments that impact the reimbursement success of products  
  • Help build relationships in key markets with government, physician, hospital, and third-party payer decision makers 
  • Consistently complete 20-24 reimbursement cases
  • Train new hire team members
  • Assist with call monitoring
  • Lead conference calls independently
  • Participate in training of sales representatives including role play and shadow training
  • Utilize technology and resources available to reimbursement team to minimize calls to the provider
  • Consistently achieve 100% accuracy on audits and coach team members to enable them to achieve this goal
  • Consistently produce the highest quality of work 
  • Demonstrate a strong understanding of payer policies and how to leverage this knowledge and support the business
  • Cultivate a strong working relationship and exchange information with key opinion leaders in medical practices, internal customers, professional medical organizations and affiliated industry groups
  • Effectively analyzes complex reimbursement data and make appropriate recommendations 
  • Seek and accept challenging tasks to learn and develop competencies
  • Deliver World Class Service to all internal and external customers
  • Look for ways to reduce errors and lower costs
  • Follow all reimbursement internal processes
  • Effectively handle and resolve conflicts
  • Other duties as needed 

Requirements

  • Medical device or biologics experience preferred
  • BA/BS degree in Healthcare Administration, Business or Economics 
  • 10+ years of work experience in the health care industry 
  • Medical device or biologics experience preferred
  • Functional expertise in reimbursement and health care policy required
  • An intimate knowledge of Medicare, Medicaid, Managed Care and Private Payer reimbursement processes required