The Area HEMA Manager works independently, supporting the reimbursement and market access development to improve access for patients, providers, and payors to the organization’s technology and product portfolio, as well as the primary expert in the field in all areas related to reimbursement of the company’s products.
What you will do:
Educate providers and staff on payer policies, coverage criteria, and other reimbursement topics.
Develop, utilize, and improve internal systems, processes, and tools for improving patient access in collaboration with Sales, Clinical, and Market Access teams.
Act as the key liaison between sales teams, healthcare providers, billing and coding staff, and other health system stakeholders on monitoring and addressing reimbursement questions.
Serve as the primary contract for reimbursement support and educating new and existing customers on billing, coding, national and local coverage policies, and good clinical documentation.
Monitor regional policy changes and work closely with the Market Access team to ensure the company has the latest coding information, coverage policies, claims outcomes, and treatment guidelines.
Broad knowledge of healthcare documentation, medical policy guidelines, compliance, billing, coding, and reimbursement related to surgical devices or buy-and-bill.
Strong problem-solving and business acumen skills with an ability to work independently, manage priorities, and develop strong relationships with customers and colleagues.
What you need (Required) :
Bachelor's degree or high school diploma
Minimum 14 years of experience if a bachelor's degree is not acquired
8 years of experience if a bachelor's degree is acquired
Comprehensive knowledge of healthcare reimbursement practices, billing procedures, compliance, coding, and medical terminology
Experience in CPT coding, surgical ICD-10 codes, and billing.
Experience calling on A/B MACs regarding the implementation of Local Coverage Determinations.
Strong background in sales, management, inpatient/outpatient coding, and reimbursement for surgical procedures.
Preferred:
Medical device, biotech, or medical/hospital management industry.
Posted Date: 05/29/2026
This role will be posted for a minimum of 3 days.
United States of America Pay Ranges:
View the U.S. work location and transparency guide to find the pay range for your location.
Ohio Campaign Manager - Job Description Job Title Ohio Campaign Manager Reports To Ohio State Director Salary $73,226 - $109,840 Direct Reports none Location Remote (living in Ohio) Position Status Full...
...elite group of only 10 organizations nationwide to receive this honor. Lee Health is hiring Gastroenterologists! Outpatient Gastroenterology Positions Available! Are you looking for a great opportunity with a growing organization that provides you with work-life...
...Catering Delivery Driver - Set Your Own Schedule! DeliverThat is built for the ones who show upthe early risers, the hustlers, and the doers. We're seeking confident and dependable independent contract delivery professionals across the U.S. to fulfill catering and...
Job Title: Certified Surgical TechnologistsLocation: US-CA-San DiegoSchedule:Monday -... ...Surgical Assisting (NBSTSA) or certified as a Tech-in-Surgery (TS-C) from the National... ...technician and/or operating room technician.* Experience: One year of experience within the last...
...experience in metal framing, drywall, ceilings, doors, frames, assembly, etc. Must haveexperience working with materials such as wood, plastic, fiberglass, or drywall. Installation of cabinets and molding. Must be able to use levels, rules, plump bobs, framing squares,...