Job postings reviewed by remote job platforms detail the remote position at the family-owned global technology company, which is headquartered in Hanau, Germany.
Navigating Complex Payer Networks
The newly listed role requires candidates to manage complex insurance verifications, benefit investigations, and prior authorization protocols across commercial insurers, Medicare, Medicaid, and managed care organizations. Company recruitment listings show the position supports patient access to specialized medical products by evaluating eligibility and determining patient financial responsibilities, including copayments and deductibles, while coordinating directly with healthcare providers and field reimbursement personnel.
Strict Criteria and Day-to-Day Duties
Applicants must possess a minimum of five years of experience in patient access, medical billing and coding, or reimbursement support. The criteria also demand working knowledge of medical coding systems including CPT, HCPCS, and ICD-10-CM, specifically relating to wound care and surgical interdisciplinary fields.
Key day-to-day responsibilities outlined in the company documentation include:
- Verifying patient insurance eligibility, coverage limits, and specific benefits for advanced wound care products.
- Conducting benefit investigations across commercial, state, and federal healthcare payers.
- Obtaining and documenting prior authorizations, pre-certifications, and necessary referral paperwork.
- Reviewing payer medical policies, Medicare Local Coverage Determinations (LCDs), and clinical criteria to assist providers in gathering supporting documentation.
- Maintaining compliance with HIPAA regulations, CMS guidelines, and FDA standards within CRM platforms such as Salesforce Health Cloud.
A Legacy of Global Operations
Founded originally as a family pharmacy in 1660, Heraeus operates globally across sectors including electronics, health, environmental applications, and industrial manufacturing. Corporate profiles indicate the firm employs more than 10,000 workers worldwide.
Employment Compliance and Workplace Standards
In its recruitment documentation, the firm stated it participates in the federal E-Verify program to confirm employment eligibility. Heraeus also operates as an equal opportunity employer committed to maintaining a diverse workforce.
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