3360 Martin Farm Road, Suite 100 Suwanee GA United States 30024

(770) 419-7525

(770) 419-8634 (fax)

©2019 by SANUWAVE and SANUWAVE Health, Inc., all rights reserved

Reimbursement Account Specialist

Reports to:  Director of Healthcare Operations

SUMMARY:


We are looking for a full time Reimbursement Account Specialist to join our team located in Suwanee, GA. In this role, your unwavering support and consultative approach will help physician offices and outpatient clinics obtain authorization and payment for appropriate patients treated with our novel device, the dermaPACE® System.

 

This internal position will be responsible for providing services as it pertains to reimbursement coding, billing education, and appeal assistance on denied and short claims with our customers in wound care settings.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 

  • Establish relationships with our Area Sales Managers (ASM) and Clinical Account Managers (CAM) to be part of the team representing reimbursement services that can be provided to our customers.

 

  • Coordinate with ASM’s and CAM’s to schedule introductions with identified accounts to initiate the reimbursement onboarding process.

  • Establish relationships with our customers and provide HIPPAA compliant assistance by providing accurate coding and billing information on the dermaPACE® System procedure.

 

  • Support our customers in the reimbursement journey from payer prior authorizations to appeals/denials procedural requirements.

 

  • Review patient-specific information in cases where the site has specifically requested assistance in resolving issues with coverage challenges

 

  • Collaborate with our internal stakeholders, accounting, operations, quality, regulatory, clinical and sales to resolve any issues on behalf of our customers.

 

  • Stay current with all emerging guidelines in the Medicare, Medicaid, Commercial payor arena.

 

  • Complete daily reports as assigned

 

  • Other duties as assigned by management. 

 

Education/Experience:

 

  • Minimum five years’ experience in healthcare reimbursement environment. Experience in medical device and/or wound care reimbursement required.

 

  • Certified Coder required

 

  • Experience in establishing new codes in a small company environment preferred.

 

 

Knowledge, Skills and Abilities

 

  • Reimbursement experience with new coding a plus

 

  • Wound Care Reimbursement experience a plus

 

  • Detail oriented; organized; sets priorities; meets deadlines

 

  • Strong working knowledge of medical terminology, CPT, HCPCS, ICD10

 

  • Excellent communications and relationship skills are required. Excellent interpersonal and communication skills to deal effectively with all necessary levels within and outside of the organization

 

  • Eager to work in a small company that is growing at a fast pace and can adjust quickly and be flexible with change. 

 

  • Ability to travel up to 25% of the time.

 

  • Ability to work a flexible schedule that may require weekend and evenings as needed.

 

SANUWAVE is an Equal Opportunity Employer.

Please email your resume to recruiting@sanuwave.com and include the title of the job in the subject line.

 

Qualified applicants will be contacted.