Reimbursement Manager Cover Letter

I am excited to be applying for the position of reimbursement manager. Please accept this letter and the attached resume as my interest in this position.

In my previous role, I was responsible for information on economic buyer and commercial payer issues related to reimbursement, coverage, and contracting for the Abbott Vascular product portfolios.

My experience is an excellent fit for the list of requirements in this job:

• Expert knowledge of cost reporting applications and concepts including Critical Access Hospitals (CAHs)
• Expert knowledge of Medicare statutes, regulations and administrative rules and their related legislative and regulatory processes
• Expert knowledge of Medicare prospective payment systems including Inpatient Acute DRGs (IPPS), Outpatient APCs (OPPS), Rehabilitation CMGs (IRF PPS) and Psychiatric PPS (IPF PPS)
• Comprehensive understanding of Medicaid supplemental payments (UPL), Health-care Related Taxes and Medicaid DSH payments
• Familiar with Medicare Provider Reimbursement Review Board (PRRB) Appeal Process
• Familiar with Medicare Alternate Payment System Concepts
• Intermediate-to-Advanced level knowledge of Microsoft Excel
• Working knowledge of McKesson general ledger

I am excited to be applying for the position of reimbursement manager. Please accept this letter and the attached resume as my interest in this position.

In the previous role, I was responsible for support for the key Steward Health Care Network (SHCN) and Steward Medicaid Care Network (SMCN) leadership meetings.

Please consider my experience and qualifications for this position:

• Strong understanding of payer environment, coding and billing requirements at the National, Regional and State levels
• Healthcare Financial or Revenue Cycle certification preferred
• Previous experience with information systems and technology
• Working knowledge of complex reimbursement issues including Graduate Medical Education, Organ Acquisition and Transplantation, Disproportionate Share Hospital reporting and PPS Exempt unit regulations
• Hospital or Health System experience preferred
• Hands-on experience with, and knowledge of, claims systems or other data management/payment systems or pricing modules within the healthcare industry
• Healthcare industry experience can include managed care, commercial insurance or facility billing (hospital, Skilled Nursing Facilities -SNFs, home health, behavioral health )
• Proven knowledge of leading and participating in cross-functional internal meetings

In response to your job posting for reimbursement manager, I am including this letter and my resume for your review.

In the previous role, I was responsible for a center of excellence to the organization in the area of the payer, pricing and reimbursement.

Please consider my experience and qualifications for this position:

• Proficiency in HFS cost report software (or its equivalent)
• Experience of regulatory in Healthcare Industry
• Past Record of successfully interacting with Opinion Leaders, Consultants, Head Nurses, Pharmacists
• Experience in Clinical Trials, research methods, and study design
• Reimbursement processes, the regulations surrounding doing clinical research in the NHS
• Openness to develop detailed knowledge of C3SD product construction, benefits, supporting evidence and use
• Understanding of published clinical evidence in relevant practice areas
• Impeccable attention to detail, essential

I submit this application to express my sincere interest in the reimbursement manager position.

In my previous role, I was responsible for key pricing, reimbursement and payer strategy input to the core Value and Access Plan for key products (in collaboration with HEOR).

Please consider my qualifications and experience:

• Outgoing, personable and confident
• Desirable – Biosciences or health care qualification with experience of clinical research practice
• Reimbursement experience for injectable products in buy and bill and setting across all sites of care
• Comprehensive understanding of Medicare Parts A, B, C, D and knowledge of commercial insurance reimbursement
• US-based marketing , sales, or related experience in specialty product(s)
• Management or supervisory experience with reimbursement call centers
• Experience in contracting with vendors and establishing scope of work, business rules and standard operating procedures
• Strong knowledge of reimbursement environments, regulations, customers, market dynamics and vendors providing reimbursement and adherence support services

I would like to submit my application for the reimbursement manager opening. Please accept this letter and the attached resume.

Previously, I was responsible for care coordination for home health and hospice patients according to internal policy and external payer guidelines.

Please consider my experience and qualifications for this position:

• Presentations and regular interface with VP and Director level leadership
• Experience communicating with all levels of the organization, including technical staff, internal non-technical staff, testing teams, and business stakeholders
• Supervisory or leadership experience of 5 or more employees
• Healthcare industry experience within managed care, commercial insurance or facility billing (hospital, Skilled Nursing Facilities -SNFs, home health)
• Strong base in healthcare policy, reimbursement, market access, or similar industry is preferred
• Assists HCP offices with questions related to Buy/Bill BI management
• Knowledgeable on Medicare billing/coding and appeal process
• Comfortable working in a transparent environment (fair balance, full disclosure, Safe Harbors)