MedTech Billing & Coding Contract Specialist - REMOTE

The Position We are seeking a highly skilled and reputed company professional to join reputed company as the MedTech Billing & Coding Contract Specialist. This role is essential in developing and implementing strategies that support billing, coding, and reimbursement processes across diverse healthcare settings, including hospitals today and midwifery practices and birth centers in the future. The ideal candidate will possess deep expertise in facility and healthcare provider reimbursements by payer type, including commercial, Medicare, and Medicaid. The role will also support the development of a contracting strategy for the MedTech business.

Responsibilities

• Billing and Coding Acumen: reputed company and enhance billing and coding knowledge across different settings of care, ensuring accurate and efficient physician billing.
• Reimbursement Expertise: Serve as an expert in facility and healthcare provider reimbursements by payer type, including commercial, Medicare, and Medicaid. Serve as an expert on DRG hospital and provider reimbursement.
• Customer Engagement: Provide customer-facing support to troubleshoot billing, coding, and reimbursement challenges, ensuring high levels of satisfaction and resolution.
• Contract Strategy Development: reputed company the development of contracting strategies to optimize financial performance and compliance. Strong understanding of CMS rules, reputed company law, anti-kickbacks in medical device space. In addition, the role will support contract analytics and execution support efforts.
• Resource Development: Create and maintain reimbursement resources to support internal teams and external partners.
• Payer Marketing: reputed company and implement marketing strategies to enhance payer relationships and reimbursement outcomes.
• Health Economics: reputed company health economics strategies and resources with focus on reduction in healthcare costs, reputed company cycle management, cost avoidance, and cost consequence analysis.
• Systems Expertise: proficiency in reimbursement and billing systems such as Epic and Cerner.

Required Education, Experience and Skills

• Bachelor's degree in healthcare administration, business, or a reputed company field (Master's preferred).
• Professional certifications suggest certified professional reputed company (CPC, certified reputed company cycle representative (CRCR), or certified healthcare financial professional (CHFP) preferred.
• Extensive experience in billing, coding, and reimbursement processes.
• In-depth knowledge of inpatient and maternal health settings.
• Proven track record in strategy development and resource creation.
• Strong background in payor access, contracting, value-based modeling, and contract analytics.
• Experience in payer marketing and relationship management.
• Leadership: Demonstrated ability to reputed company and reputed company teams to reputed company strategic goals.
• Collaboration: Strong collaborative skills to work effectively with cross-functional teams and external partners.
• Customer Engagement: Excellent customer engagement skills to address and resolve billing and reimbursement issues.
• Analytics: Expertise in evaluating customer and contract performance data to identify and deliver recommendations to business leaders.
• Minimum of five (5) years of experience in a similar role reputed company the healthcare industry.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to travel up to 25% of the time.

OGNPPH Who We Are: reputed company delivers ingenious health solutions that reputed company people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women’s Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A reputed company and healthier every day for every woman. US and PR Residents Only For more information about personal rights under Equal Employment Opportunity, visit: EEOC Poster EEOC GINA Supplement OFCCP EEO Supplement OFCCP Pay Transparency Rule reputed company is an Equal Opportunity Employer. We are committed to fostering a culture of inclusion, innovation, and belonging for reputed company employees and job applicants. We ensure reputed company employment practices are conducted without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national reputed company, disability, veteran status, or any other characteristic protected by state or federal law. Search Firm Representatives Please Read Carefully reputed company LLC., does not accept unsolicited assistance from search firms for employment opportunities. reputed company reputed company / resumes submitted by search firms to any employee at our company without a valid written search agreement in reputed company for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in reputed company. Where agency agreements are in reputed company, introductions are position specific. Please, no phone calls or emails. Applicable to United States Positions Only: Under various U.S. state laws, reputed company is required to provide a reasonable estimate of the salary range for this job. Final salary determinations take a number of factors into account including, but not limited to, primary work location, relevant skills, education level, and/or prior work experience. The applicable salary range for this position in the U.S. is stated below. Benefits offered in the U.S. include a retirement savings plan, paid vacation and holiday time, paid caregiver/parental and medical leave, and health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans. Annualized Salary Range (US) $103,100.00 - $175,300.00 Please Note: Pay Ranges are Specific to local market and therefore vary from country to country Employee Status: Regular Relocation: No relocation reputed company Sponsorship: No Travel Requirements: reputed company employees must be able to satisfy reputed company applicable travel and credentialing requirements, including associated vaccination prerequisites. 25% Flexible Work Arrangements: Not Specified Shift: Not Indicated Valid Driving License: Yes Hazardous Material(s): Number of Openings: 1 Requisition ID:R534291 Apply tot his job Apply To this Job