Field Reimbursement Associate

The Field Reimbursement Associate works under the guidance of the Field Reimbursement Director to address insurance reimbursement, access, and coverage issues that affect Kerecis products.

The Field Reimbursement Associate is based either on-site in a Kerecis office or, in areas where Kerecis does not have a location, in a home office. This full-time role reports directly to the Field Reimbursement Director (FRD).

Essential Functions

• Work hand-in-hand with the Field Reimbursement Director to ensure that post-application denials and appeals are processed and followed up on in a timely manner
• Track and maintain all denials, appeals and aging accounts receivable (AR); report this collected data to the Finance team and other relevant internal stakeholders
• Using the internal ticket platform, answer all assigned requests from the FRD / Field Reimbursement Managers (FRMs) via ticketing platform in a timely manner
• Gather and organize clinical documentation to solve the denials and/or appeals
• Respond to inquiries submitted to the Reimbursement group mailbox or direct to the applicable FRD/FRM in a timely manner
• Assist with onboarding new accounts and ensure completion of spot checks for all new Wound accounts
• Assist with all new Kerecis current customer onboarding
• Other tasks and responsibilities as assigned

Competencies and Attributes

• Entry-level understanding of all aspects of reimbursement models (coding, coverage, and payment), including an understanding of Medicare A, B, C and D benefit designs, Medi-gap, and commercial plans
• Demonstrated knowledge of billing competencies including CPT, ICD-10, HCPCS coding and EOB interpretation
• Analytical, problem solving, and relationship-building skills
• Excellent communication skills, both written and verbal
• Strong organizational and multitasking skills
• Flexible work schedule, as hours of operation may vary

Education & Experience

• Associate's degree from an accredited university or college and/or current enrollment in an accredited Associate’s degree program
• 1 to 3 years of medical billing and/or coding, or healthcare insurance and/or payer experience
• Ability to travel up to 10 to 15% of the time

Anticipated travel: 10-15%

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time. Kerecis is an equal opportunity employer.