About the role
Job Type
Full-time
Description The Field Reimbursement Associate works under the guidance of the Field Reimbursement Director to address insurance reimbursement, access, and coverage issues that affect Kerecis products.
The Field Reimbursement Associate is based either on-site in a Kerecis office or, in areas where Kerecis does not have a location, in a home office. This full-time role reports directly to the Field Reimbursement Director (FRD).
Essential Functions
- Work hand-in-hand with the Field Reimbursement Director to ensure that post-application denials and appeals are processed and followed up on in a timely manner
- Track and maintain all denials, appeals and aging accounts receivable (AR); report this collected data to the Finance team and other relevant internal stakeholders
- Using the internal ticket platform, answer all assigned requests from the FRD / Field Reimbursement Managers (FRMs) via ticketing platform in a timely manner
- Gather and organize clinical documentation to solve the denials and/or appeals
- Respond to inquiries submitted to the Reimbursement group mailbox or direct to the applicable FRD/FRM in a timely manner
- Assist with onboarding new accounts and ensure completion of spot checks for all new Wound accounts
- Assist with all new Kerecis current customer onboarding
- Other tasks and responsibilities as assigned
Requirements Competencies and Attributes
- Entry-level understanding of all aspects of reimbursement models (coding, coverage, and payment), including an understanding of Medicare A, B, C and D benefit designs, Medi-gap, and commercial plans
- Demonstrated knowledge of billing competencies including CPT, ICD-10, HCPCS coding and EOB interpretation
- Analytical, problem solving, and relationship-building skills
- Excellent communication skills, both written and verbal
- Strong organizational and multitasking skills
- Flexible work schedule, as hours of operation may vary
Education & Experience
- Associate's degree from an accredited university or college and/or current enrollment in an accredited Associate’s degree program
- 1 to 3 years of medical billing and/or coding, or healthcare insurance and/or payer experience
- Ability to travel up to 10 to 15% of the time
Anticipated travel: 10-15%
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time. Kerecis is an equal opportunity employer.
About Kerecis
Kerecis was founded by Fertram Sigurjonsson around the concept of using fish skin to heal damaged tissue. The company is pioneering the use of fish skin and fatty acids in the globally expanding cellular therapy and regenerative medicine market. The fatty-acid rich (including Omega3) products from the company's patented technologies enable the body to regenerate tissues, rather than simply repair them and risk scarring.
The Kerecis products are used to regenerate tissue in trauma and chronic wounds such as burns and diabetic wounds. Kerecis is also developing products for areas such as oral surgery, plastic surgery and neurological applications.
The vision of Kerecis is to extend human life by supporting the body’s own ability to regenerate.
The Kerecis mission is to become the world leader in regenerating damage of the human body by sustainably harnessing nature’s own remedies.
In August 2023 Kerecis became Iceland’s first Unicorn when it sold to the Danish company Coloplast for $1.3 Billion.
About the role
Job Type
Full-time
Description The Field Reimbursement Associate works under the guidance of the Field Reimbursement Director to address insurance reimbursement, access, and coverage issues that affect Kerecis products.
The Field Reimbursement Associate is based either on-site in a Kerecis office or, in areas where Kerecis does not have a location, in a home office. This full-time role reports directly to the Field Reimbursement Director (FRD).
Essential Functions
- Work hand-in-hand with the Field Reimbursement Director to ensure that post-application denials and appeals are processed and followed up on in a timely manner
- Track and maintain all denials, appeals and aging accounts receivable (AR); report this collected data to the Finance team and other relevant internal stakeholders
- Using the internal ticket platform, answer all assigned requests from the FRD / Field Reimbursement Managers (FRMs) via ticketing platform in a timely manner
- Gather and organize clinical documentation to solve the denials and/or appeals
- Respond to inquiries submitted to the Reimbursement group mailbox or direct to the applicable FRD/FRM in a timely manner
- Assist with onboarding new accounts and ensure completion of spot checks for all new Wound accounts
- Assist with all new Kerecis current customer onboarding
- Other tasks and responsibilities as assigned
Requirements Competencies and Attributes
- Entry-level understanding of all aspects of reimbursement models (coding, coverage, and payment), including an understanding of Medicare A, B, C and D benefit designs, Medi-gap, and commercial plans
- Demonstrated knowledge of billing competencies including CPT, ICD-10, HCPCS coding and EOB interpretation
- Analytical, problem solving, and relationship-building skills
- Excellent communication skills, both written and verbal
- Strong organizational and multitasking skills
- Flexible work schedule, as hours of operation may vary
Education & Experience
- Associate's degree from an accredited university or college and/or current enrollment in an accredited Associate’s degree program
- 1 to 3 years of medical billing and/or coding, or healthcare insurance and/or payer experience
- Ability to travel up to 10 to 15% of the time
Anticipated travel: 10-15%
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time. Kerecis is an equal opportunity employer.
About Kerecis
Kerecis was founded by Fertram Sigurjonsson around the concept of using fish skin to heal damaged tissue. The company is pioneering the use of fish skin and fatty acids in the globally expanding cellular therapy and regenerative medicine market. The fatty-acid rich (including Omega3) products from the company's patented technologies enable the body to regenerate tissues, rather than simply repair them and risk scarring.
The Kerecis products are used to regenerate tissue in trauma and chronic wounds such as burns and diabetic wounds. Kerecis is also developing products for areas such as oral surgery, plastic surgery and neurological applications.
The vision of Kerecis is to extend human life by supporting the body’s own ability to regenerate.
The Kerecis mission is to become the world leader in regenerating damage of the human body by sustainably harnessing nature’s own remedies.
In August 2023 Kerecis became Iceland’s first Unicorn when it sold to the Danish company Coloplast for $1.3 Billion.