The Laboratory Reimbursement Manager serves as the primary resource for reimbursement data for our clients. The role requires experience in medical laboratory coding and billing along with high-level analytical skills. The ability to review third party medical policies and determine coverage and reimbursement is critical in this role.

Responsibilities

• Customer facing role responsible for the execution of reimbursement strategies of medical laboratory tests.

• Key functions to include coding and payment analysis, insurance authorization, coverage and cost effectiveness analysis as well as collaborating/building relationships with internal and external customers.

• Provide strategic expertise to consulting clients regarding reimbursement.

• Builds and formulates collaborative relationships with other departments and serve as a liaison to external stakeholders.

• Provide expertise on state and federal regulations for reimbursement methodologies and appropriate coding for medical laboratory testing.

• Monitors, interprets, and summarizes changes in the external environment (regulatory/reimbursement changes, managed care arrangements, etc.) produces internal communication strategies on threats and opportunities with suggested action plans .

• Is the internal and external subject matter expert on market access, reimbursement and medical policy matters related to medical laboratory testing.

• Bachelor's degree required.

• Experience: 10 years of laboratory and third-party medical billing experience.

• Successful performance in this position requires a broad-based knowledge in medical laboratory reimbursement, patient access, payer coverage policy, employee management, business management, project management, and extensive experience in general healthcare.

• Strong communication, interpersonal, and analytical skills.

• The candidate must have excellent leadership qualities.

• Soft Skills: Persuasive, self-driven and motivated.

• Strong analytical and presentation skills, innovative and resourceful.

• Ability to communicate effectively, both written and orally.

• Ability to drive appropriate payment coverage of IVP products by payers.

• Computer Skills: Proficient in use of Microsoft PowerPoint, Excel, Windows and Microsoft Office.