Senior Retail Sales Team Leader managing store operations and sales team at Vodafone. Drives sales and elevates customer experience while meeting retail standards.
About the role
- Field Reimbursement Manager representing Cleerly in healthcare reimbursement matters. Collaborating with sales and clients to enhance understanding of billing and reimbursement processes.
Responsibilities
- Direct customer engagement through in-person or online meetings.
- Maintain a detailed understanding of all market access and reimbursement related information related to all Cleerly products and related services in all settings of care.
- Maintain a detailed knowledge of and ability to utilize all Cleerly resources and tools for customer assistance.
- Educate internal stakeholders, such as sales, marketing, etc., on nuances to coding, coverage, and reimbursement and how to communicate to customers in accordance with compliance standards.
- Cross functional collaboration with Sales, Marketing, and Client Success teams to meet customer reimbursement needs across all phases of the sales process.
- Cross functional collaboration with Sales and Implementation Teams to educate new and potential customers on patient access, reimbursement, and coding Cleerly products.
- Regularly assess payor coverage policies for changes and communicate to internal and external stakeholders.
- Identify, cultivate and maintain client relationships leading to KOL development for payor engagement.
- Collaborate with Market Access Directors to engage KOLs for payor coverage engagement.
- Assist Directors of Market Access with maintaining payor policy data.
- Educate clients (including third party billers) on payor coverage topics, patient selection criteria, billing, coding, and reimbursement.
- Work directly with new customer billing and coding teams to educate on prior authorizations, coding, coverage criteria, and other reimbursement related topics.
- Initiate regular, scheduled communications with customers and billing staff to assess any issues and educate accordingly.
- Assist customers with utilization of Cleerly tools and resources for prior authorizations and appeals.
- Assess customer payor mix and perform claim reviews to ensure proper billing and coding.
- Develop and share best practices with internal team regarding billing, coding and reimbursement processes.
- Provide feedback to internal stakeholders regarding real-world access barriers and market dynamics.
Requirements
- Associates degree in a medical or science related field, Bachelor’s degree preferred
- Billing and coding expertise in radiology or cardiology
- Certified Professional Coder (or similar) certification preferred
- Minimum of 5 years of billing and coding experience in either office, hospital outpatient, or IDTF
- Experience interpreting medical coverage policies to understand and communicate clinical criteria as well as billing and coding requirements
- Outstanding knowledge of US billing and coding system for both commercial and government payors
- Excellent written and interpersonal communication skills
- Comprehensive understanding of billing and coding workflow in all sites of care including knowledge of EMR billing software, etc.
- Must live near a major airport in the Western half of the United States
- Must be able to travel up to 75% of the time.
Benefits
- Health insurance
- Paid time off
- Professional development opportunities
- Remote work options
- Flexible working hours
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