[Hiring] Field Reimbursement Manager @Zimmer, Inc.

Role Description

The Field Reimbursement Manager is a field-based role responsible for advancing customer access and supporting commercial execution for an innovative cryotherapy technology used in the management of pain. This role serves as a strategic reimbursement resource to healthcare providers, hospitals, ambulatory surgery centers, and revenue cycle stakeholders navigating a dynamic reimbursement environment. This individual will act as a trusted partner to both customers and internal teams by delivering compliant reimbursement education, identifying access barriers, supporting coding and billing workflows, and providing field-based insights that inform market access and commercial strategy.

How You'll Create Impact

• Serve as the field-based subject matter expert for cryoneurolysis procedures and related reimbursement across sites of care.
• Deliver accurate, compliant reimbursement education to healthcare providers, hospitals, ambulatory surgery centers, coding professionals, billing teams, and revenue cycle leaders.
• Support customers in understanding reimbursement pathways, including coding, claims submission, payer adjudication, and payment considerations.
• Assist customers in identifying potential drivers of denials, underpayments, delays, and other reimbursement barriers.
• Provide practical, customer-focused guidance on reimbursement, coding, billing, coverage, and payment issues.
• Support the development and deployment of reimbursement education materials, field tools, webinars, and customer-facing patient access resources, as applicable.
• Maintain subject matter expertise in CPT, HCPCS, ICD-10-CM, modifiers, and other applicable coding methodologies.
• Monitor and interpret new or evolving CPT guidance, payer policies, and reimbursement developments relevant to the business.
• Develop and communicate clear, consistent guidance regarding coding and billing considerations for new or evolving procedures.
• Maintain current knowledge of Category I and Category III CPT codes, modifiers, C-codes, APCs, DRGs, and other hospital and physician reimbursement methodologies.
• Monitor CMS and commercial payer policy changes, identify emerging coverage and denial trends, and communicate material implications to leadership and internal stakeholders.
• Build and maintain relationships with key provider stakeholders to support reimbursement education, market access initiatives, and customer engagement.
• Provide field-based reimbursement insights to support strategic planning, customer engagement, and resource development.
• Partner cross-functionally with Market Access, Sales, Marketing, Medical Education, Health Economics and Reimbursement, Customer Care, Legal, and Compliance, as appropriate.
• Help ensure reimbursement communications and educational resources remain accurate, compliant, and aligned with company objectives.

Qualifications

• Experience supporting pain management, cryotherapy, or other procedural medical technologies.
• Strong working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, APCs, DRGs, and other applicable reimbursement methodologies.
• Experience working directly with physicians, hospitals, ambulatory surgery centers, coders, billers, revenue cycle teams, and healthcare administrators.
• Demonstrated ability to analyze and address complex claims, denials, underpayments, coverage issues, and reimbursement challenges.
• Demonstrated ability to interpret CMS and commercial payer policies and translate reimbursement requirements into clear, actionable guidance.

Requirements

• Bachelor's Degree and 4 years of relevant experience, or Associate's Degree and 6 years of relevant experience, or High School Diploma or Equivalent and 8 years of relevant experience.
• CPC, CCS, CPMA, or another recognized coding or reimbursement certification preferred.

Physical Requirements

• This is a field-based position requiring regular travel to customer sites, hospitals, ambulatory surgery centers, industry meetings, and internal business meetings.
• Travel may be up to 75% if needed, depending on geography and business needs.

Salary

This role has a salary range of $150,000-$175,000 annually plus bonus.

EOE Statement

EOE/M/F/Vet/Disability