Medicaid Provider Hospital Reimbursement Methodologies Analyst
HumanaFull Time
Senior (5 to 8 years)
Candidates must possess a Bachelor's Degree or equivalent years of directly related experience, with a minimum of 5 years of relevant experience. Fluency in reading, writing, understanding, and communicating in English is essential. Preferred qualifications include experience with glaucoma reimbursement, the pull-through process for reimbursement, at least 5 years of medical device experience with a proven track record of calling on field-based customers, and account management or reimbursement experience in a provider office setting. Experience in medical practice management, certified professional coding, collaborative work in a matrix organization, and working with billing and medical claims personnel in healthcare settings are also considered beneficial.
The Field Reimbursement Expert Core Surgical - West will manage daily patient access and reimbursement activities for accounts within a specified geography, supporting Alcon's surgical and ocular health portfolio. This role involves working with provider offices and outpatient facilities to educate them on payer and reimbursement policies, procedures, coding, and claim appeals. Responsibilities include establishing and maintaining strategic relationships with providers, partnering with field sales, analyzing local market data, serving as a subject matter expert for Value Tools, providing managed care and reimbursement training, and staying current on reimbursement and policy activities and Ophthalmic business trends. The expert will also share pertinent product and competitive information with home office teams and represent Alcon at industry functions.
Specializes in eye care products and solutions
Alcon specializes in eye care products and vision solutions aimed at improving people's quality of life through better vision. Their product offerings include solutions for cataract surgery, retinal health, and contact lenses. Alcon's products work by utilizing advanced technology and research to provide effective treatments and aids for various eye conditions. What sets Alcon apart from its competitors is its strong emphasis on research and development, ensuring that they remain leaders in the eye care industry. The company's goal is to enhance vision and overall quality of life for individuals while promoting a diverse and inclusive workplace.