Reimbursement Access Specialist

Reimbursement Access SpecialistDate: Aug 14, 2024Location: Wayne, PA, USCompany: TeleflexExpected Travel : Up to 25%Requisition ID :10816About Teleflex IncorporatedAs a global provider of medical technologies, Teleflex is driven by our purpose to improve the health and quality of people’s lives. Through our vision to become the most trusted partner in healthcare, we offer a diverse portfolio with solutions in the therapy areas of anesthesia, emergency medicine, interventional cardiology and radiology, surgical, vascular access, and urology. We believe that the potential of great people, purpose-driven innovation, and world-class products can shape the future direction of healthcare.Teleflex is the home of Arrow™, Barrigel™, Deknatel™, QuikClot™, LMA™, Pilling™, Rüsch™, UroLift™ and Weck™ – trusted brands united by a common sense of purpose.At Teleflex, we are empowering the future of healthcare. For more information, please visit teleflex.com .Global Functions – The Corporate division is the central operating unit of the company; setting strategy and policy and providing business development, finance, human resources, information technology, investor relations and legal support to the businesses. The global Company headquarters is located just outside of Philadelphia in Wayne, PA. Join a dynamic, growing team that offers healthcare providers an array of medical technology solutions that make a difference in patients’ lives.Position SummaryThe Reimbursement Access Specialist is a highly visible, front-line position that reports to the Sr. Manager, Reimbursement Access and supports members of the Reimbursement Department to assist in the execution of the department’s strategic plan. This position may interact directly with key management personnel, internal and external customers, KOLs and providers to assure maximum reimbursement and eliminate reimbursement barriers. The appropriate candidate relies on experience and judgment to plan and accomplish goals. Key areas of focus include triaging customer and sales team inquiries, assisting the Sr. Manager, Reimbursement Access and Regional Reimbursement Managers with identified projects, coordinating meetings and disseminating information on reimbursement for Teleflex products. S/he will be instrumental in supporting and assisting the Reimbursement Team with payer relations and communications. This position answers questions and provides assistance to customers and the sales force for insurance claim processing and appeals.Principal Responsibilities Direct customer interface Identify trends in customer communications Respond as needed to coding, coverage, payment and billing questions from internal and external customers Disseminate appropriate reimbursement tools as necessary to internal and external customers Support the claims and appeals process including the tracking of claims and appeals Create reports as requested Refer complex reimbursement issues to the appropriate Regional Reimbursement Manager Help to identify and facilitate physician/customer/patient advocacy for coverage initiatives Support the Sr. Manager, Reimbursement Access Assist in the development and management of timelines for key department initiatives Manage vendor projects: Work within approved project and budget plans, consulting agreements and within Teleflex policies to complete projects according to established timelines. Work with Reimbursement Department and Marketing Department to maintain Teleflex website with up to date reimbursement tools and information. Provide reimbursement materials to customers, sales team and reimbursement personnel as needed Coordinate internal and external reimbursement communication and develop tools for internal and external customers. Monitor Medicare and private payer websites for policies relevant to Teleflex products and maintain a database of these policies Oversee payer database Assist in the coordination of payer meetings as needed Support the development and implementation of training programs Maintain reimbursement tools and materials Maintain inventory of reimbursement tools Support the development of reimbursement tools including internal review processSpecialized Skills / Other RequirementsThe pay range for this position at commencement of employment is expected to be between $80,000 - 85,000 however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience.The total compensation package for this position will also include benefits such as medical, prescription drug, dental and vision insurance, flexible spending accounts, participation in 401(k) savings plan, and various paid time off benefits, such as PTO, short- and long-term disability and parental leave, dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.Working Conditions / Physical DemandsTRAVEL REQUIRED: 25 %WORKING ENVIRONMENT:☒ Office/Professional ☐ Plant/Manufacturing ☐ Remote/Field ☐ LaboratoryAt Teleflex, we follow a comprehensive hiring process. We do not accept unsolicited resumes from agency recruiters or 3rd party firms. We do not make unsolicited job offers. We do not ask for money or require equipment purchase up-front.Teleflex, Inc. is an affirmative action & equal opportunity employer. D/V/M/F. Applicants will be considered without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality, sex, or veteran status. If you require accommodation to apply for a position, please contact us at: 877-880-8588 or [email protected], the Teleflex logo, Arrow™, Barrigel™, Deknatel™, QuikClot™, LMA™, Pilling™, Rüsch™, UroLift™ and Weck™ are trademarks or registered trademarks of Teleflex Incorporated or its affiliates, in the U.S. and/or other countries.© 2024 Teleflex Incorporated. All rights reserved.