Job Description:
At Enovis™ we pay attention to the details. We embrace collaboration with our partners and patients, and take pride in the pursuit of scientific excellence — with the goal of transforming medical technology as we know it.
Because that’s how we change the lives of patients for the better. And that’s how we create better together. Why work at Enovis?
See for yourself
.
As a key member of the Field Services Team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.
Job Title:
Regional Account Manager
Reports To:
Manager, RCM Operations
Location:
Remote/Hybrid (Lewisville, Texas)
Business Unit:
Revenue Cycle Management
Role Summary:
Are you passionate about patient care and helping people live active lives? We’re seeking a dedicated Regional Account Manager with a background in Durable Medical Equipment and orthopedic care to join our team in Lewisville, Texas, or remotely. In this role, you’ll ensure timely, compliant claims processing, collaborate with offshore partners to drive accuracy and productivity and serve as a key liaison for the Sales Team. You’ll build strong relationships with internal teams and stakeholders to improve customer experience continuously.
This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovation possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.
Key Responsibilities:

The following are the primary duties and responsibilities of this role. Other related duties may be assigned to meet the business need.

• Responsible for application, education, and appropriate use/care of orthopedic soft goods, functional bracing, and bone growth stimulators, and all other Enovis products prescribed by HCPs.
• Provides routine customer service to patients, physicians, physician assistants, and other clinical staff.
• Performs inventory management and participates in required audits.
• Verifies patient benefits using automation tools, including pre-authorization and/or upfront collection of patient responsibility.
• Serves as a liaison between the customer, Enovis, and the Sales Team.
• Adheres to all Enovis Compliance and Ethics Programs, OIG, government healthcare regulations, regulatory policies and procedures set forth by clinic/hospital, and HIPAA in accordance with government agency requirements.

Minimum Basic Qualifications:

• Minimum of 6 years of experience in healthcare reimbursement required.
• Minimum of 1 year of experience leading teams and/or managing people required.
• In-depth knowledge of ICD-10 coding, medical terminology, third party billing and collections, and managed care requirements required.
• Experience in responding to patient and insurance inquiries required.
• Full understanding of customer service and compliant insurance follow-up processes (i.e., Billing, Collections, Managed Care, Medicare, Medicaid, and Commercial payor practices).
• Expert knowledge and understanding of Durable Medical Equipment (DME) billing practices required.
• Experience using DataWorks, Computers Unlimited TIMS, or similar case management software required.
• Experience supporting a commercial sales team required.
• Strong understanding of business strategies and drivers, particularly as it relates to Sales Organizations.
• Experience leading offshore/outsourced business functions.

Education:

• Bachelor’s Degree in related discipline required.
• MBA preferred.

Travel:

• Must be able to travel up to 10% of the time.
• Typical work-related travel assignments range 1-5 days, and as such overnight, out-of-town stays are required.

Work Environment | Physical Demands:

• Typical office environment.
• This role routinely uses standard office equipment such as computers, keyboard, phone, print.
• Physical Demands: May occasionally lift up to 10 pounds.
• Travel Requirements: Must be able to travel up to 10% of the time. Typical work-related travel assignments range from 1-5 days, and as such overnight, out-of-town stays are required.
• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Currently, Enovis does not provide sponsorship for employment visas (e.g., H-1B) and will not offer such sponsorship in the future. Applicants must already have full-time work authorization in the United States, both now and in the future, without requiring sponsorship.
“Creating better together”. It’s the Enovis purpose, and it’s what drives us and empowers us every day on a global scale. We know that the power to create better – for our customers, our team members, and our shareholders – begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes.
What does creating better together mean to us at Enovis? Discover the “why” behind our purpose, values and behaviors:
Our Enovis Purpose, Values and Behaviors on Vimeo

We offer a comprehensive benefits package which includes:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Spending and Savings Accounts
• 401(k) Plan
• Vacation, Sick Leave, and Holidays
• Income Protection Plans
• Discounted Insurance Rates
• Legal Services

• Responsible for application, education, and appropriate use/care of orthopedic soft goods, functional bracing, and bone growth stimulators, and all other Enovis products prescribed by HCPs.
• Provides routine customer service to patients, physicians, physician assistants, and other clinical staff.
• Performs inventory management and participates in required audits.
• Verifies patient benefits using automation tools, including pre-authorization and/or upfront collection of patient responsibility.
• Serves as a liaison between the customer, Enovis, and the Sales Team.
• Adheres to all Enovis Compliance and Ethics Programs, OIG, government healthcare regulations, regulatory policies and procedures set forth by clinic/hospital, and HIPAA in accordance with government agency requirements