Tobii Dynavox, part of the Tobii group, is the world leader in eye tracking and speech generating devices - products that help individuals with speech and motor impairments live a richer and more independent life. Headquartered in Stockholm Tobii covers a global market with offices in USA, Germany, Norway, Japan and China. If you want to work with meaningful products and solve interesting problems, we might be the right company for you! Take a look at this video that shows how we impact lives and give people with disabilities the power and ability to express who they are: https://www.youtube.com/watch?v=2zh2UMK8xf0
This Reimbursement Services Director is responsible for the execution of tactical reimbursement programs and the development of tools associated with the tactical programs. The Director is responsible for creating innovative reimbursement support programs for internal and external customers. Responsibilities also include development and execution (as required) of sales force and account management training materials related to reimbursement support programs.
This positions will be a key resource in maintaining revenue, and establishing, implementing and controlling the billing system and supervising staff as part of Revenue Cycle Management.
It will work closely with Field Sales, Funding, Senior Management and other departments to ensure contracts are properly implemented and revenue maximized. This position is highly visible and requires a strong leader with the ability to prioritize initiatives and work cross-functionally to improve processes.
The role and responsibilities:
Negotiate and manage successful relations with national, regional and state insurers, Medicaid agencies, managed care organizations and preferred provider organization networks in order to maximize reimbursement
Plans, develops, and implements revisions and enhancements to reimbursement programs, creates standard operating policies and procedures, and obtains necessary approvals for implementation of revised or new services
Evaluates and documents client needs and all aspects of business processes both operational and financial, including current process analysis; and proposed revisions to optimize business processes.
Directs the tracking, analysis, and reporting of funding, collections and reimbursement program results
Meet account receivable operational standards through the management of all aspects of the reimbursement function, including prior authorization, billing and collections
Directs the planning and coordination of reimbursement research, payer policy analysis, and reimbursement data analysis to support the corporate reimbursement strategy
Research and understand state, regional and national payer trends and identify opportunities and challenges to maximize reimbursement
Directs the timely preparation and distribution of payer updates, research results, and the results of reimbursement data analysis to internal stakeholders
Act as a resource and advocate to Funding, Collection and Reimbursement Managers on initiatives related to Medicaid and Medicare, managed care, other government insurance programs, private third party payers and related matters
Work with Financial Analyst on issues as it affects claim payments, denials, and short pays
Work closely with marketing, sales management, and Reimbursement Managers to develop innovative, customer-focused, product reimbursement programs and tools that provide customer value and competitive advantage
Interact with legal, regulatory, advocacy, service, and fulfillment resources to manage programs within approved legal and regulatory guidelines and to coordinate corporate needs
Directs the development of field reimbursement training materials and tools for the reimbursement programs, and coordinates the execution of reimbursement training as required
Develop relationships with key opinion leaders, influential with assigned payer
Prepare and manage annual budget for departmental expenses based on current environment and anticipated future growth and develop and produce statistical and financial reports in conjunction with the reporting needs of management
Perform various other duties as assigned
All our jobs at Tobii Dynavox are about innovation, passion and not the least - making things real.
We are looking for someone who has the following minimum qualifications:
Bachelor’s Degree in Health Care Policy or related field
7+ years leadership experience in the healthcare reimbursement environment preferably within the medical device industry
Detailed knowledge of coding, billing and payment systems in healthcare
Minimum 5 years’ experience in A/R management, charge entry, billing, collections, and payment posting
Experience with revenue cycle and reimbursement
Experience with ICD-10 coding and terminology
Excellent written and oral communication skills and ability to present effectively
Advanced PowerPoint, Excel and Word skills
We find it to be a strong merit if you have excellent understanding of Medicare and private payer billing and coding as well as have an understanding of and compliance with HIPAA regulations.
To be successful in this role and at Tobii Dynavox you need to have strong organizational skills.
“Working at Tobii is like being in the heart of innovation. Here you get to work on cool creative projects, together with passionate colleagues from all around the world. Our technology brings a voice to people with speech impairments, it helps us understand human behavior and it is revolutionizing the way we interact with technology. Life is short so we choose to spend it building high tech products that matters!
If you want to build a company rather than just work for one. If you take pride in honest, hard work and want to perform freely in an open environment where you can be yourself, you will feel right at home.
Tobii - It’s all about passion, innovation and making things real –“
Learn more about what we do by visiting our Youtube channel
Tobii Dynavox, www.tobiidynavox.com , the largest business unit in the Tobii Group, is the world leader in eye tracking and assistive technology for communication-products that help individuals with speech and motor impairments live a richer and more independent life. Tobii Dynavox was formed in 2014 when Tobii Assistive Technology (founded in 2005) merged with Dynavox Systems (founded in 1983). ... The merger created the world leader in devices, software and tools for alternative communication making thousands of people around the world able to communicate despite any limitations. Have a look at this fantastic video on the way we impact peoples lives and give them the power and ability to be who they are: