Integra LifeSciences Reimbursement Case Specialist in Billerica, Massachusetts
Integra LifeSciences, a world leader in medical technology, is dedicated to limiting uncertainty for surgeons, so they can concentrate on providing the best patient care. Integra offers innovative solutions in orthopedic extremity surgery, neurosurgery, reconstructive and general surgery, and regenerative wound care.
Integra's orthopedic products include devices and implants for foot and ankle, hand and wrist, shoulder and elbow, tendon and peripheral nerve protection and repair. Integra is a leader in neurosurgery, offering a broad portfolio of implants, devices, instruments and systems used in neurosurgery, neuromonitoring, neurotrauma, and related critical care. Integra’s Tissue Technologies is an in-patient and outpatient Regenerative product portfolio, which includes products for wound care, burns, abdominal reconstruction, and plastic & reconstructive surgery. In the United States, Integra is a leading provider of surgical instruments to hospitals, surgery centers and alternate care sites, including physician and dental offices.
Founded in 1989 Integra is headquartered in Plainsboro, New Jersey and has over 4,500 employees worldwide. Integra's common stock is listed on The NASDAQ Stock Market under the symbol "IART."
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Primary responsibilities are to:
Verify current insurance coverage policies and benefits specifics through direct contact with medical insurance providers and ensure prompt return of accurate information to healthcare professionals to facilitate ongoing patient care with Integra products.
Assist with the coordination of the case set up with wound care center/ providers, patients and sales representative.
Develop productive working relationships with internal and external field sales representatives to provide coordinated support to healthcare providers and patients interested in treatment with Integra products
Demonstrate proficiency and full understanding of the Reimbursement Call Center Customer Relationship database including understanding of data elements, definition of various case statuses and outcomes, case documentation requirements and the importance of meeting program metrics.
Provide the highest level of customer service while acting as the single point of contact for healthcare providers to case manage all steps required to gain access to treatment with Integra’s products
Handle all protected patient data according to strict HIPAA compliance and ethical record-keeping.
Accurately document call details, follow up actions, and any other pertinent information within the Customer Relationship Management database.
Identify and escalate customer concerns and program trends to the Reimbursement Services Manager as well as Reimbursement Call Center team.
The requirements listed below are representative of the knowledge, skill and/or ability required for his position.
Education: Minimum 4-year degree or equivalent.
Reimbursement case management experience, or experience working in a reimbursement hotline preferred.
Experience working in a high volume patient services program preferred.
Extensive knowledge of health plan reimbursement.
Prior reimbursement experience with ability to communicate complex reimbursement scenarios and solutions to patients and medical professionals.
Demonstrated ability to work collaboratively in a team environment and as an independent contributor.
Ability to think critically and problem solve to address customer needs and barriers to product fulfillment.
Vacancy ID 2018-27187
Position Type Regular Full-Time