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 Category 3 experience and Retina Sales or Retina Experience.
The Field Reimbursement Expert will manage daily patient access and reimbursement activities for accounts in a specified geography, supporting Alcon's surgical and ocular health portfolio. This role involves working with provider offices and outpatient facilities to educate staff on payer and reimbursement policies, coding, and claim appeals. The expert will establish and maintain strategic relationships with providers, partner with field sales, and analyze local market data. They will also serve as a subject matter expert for training and deployment of Value Tools, provide managed care and reimbursement training, and remain current on reimbursement activities and ophthalmic business trends. Additionally, they will share pertinent 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.