Reimbursement Access Manager - Southeast US

iRhythm Technologies, Inc.

1d•$115,000 - $149,000•Remote

About The Position

The Reimbursement & Access Manager (RAM) is a commercially focused, field-based position responsible for ensuring patient access and reimbursement for iRhythm’s Zio services across key accounts in their designated geography. This individual will act as a strategic partner to the field sales organization, healthcare providers, billing staff, and internal commercial stakeholders to proactively identify, educate, and resolve access barriers and reimbursement issues. The RAM serves as the market-facing expert on payer policy, billing workflows, claims adjudication, and patient assistance programs. This role supports seamless integration of iRhythm services into clinical and operational pathways, driving both financial and clinical outcomes. This position is ideal for a strategic, solutions-oriented individual who thrives in a fast-paced, mission-driven environment and is passionate about improving patient access through education, advocacy, and cross-functional collaboration.

Requirements

Bachelor’s degree in healthcare administration, Life Sciences, Business, or related field preferred, commensurate experience may be considered.
5+ years in healthcare reimbursement, revenue cycle management, market access, or payer relations.
Strong understanding of coding (CPT/ICD-10), billing, coverage policies, and payer adjudication.
Experience interfacing with healthcare providers in a consultative, field-based role.
Proven ability to manage complex accounts, including IDNs, large health systems, and specialty practices.
Proficient in Microsoft Office Suite, CRM systems, and virtual communication platforms.
The ability to travel 50% or more based on territory needs.

Nice To Haves

CPC or relevant coding/billing certification.
Specialty pharmacy or diagnostics experience strongly preferred.
Prior experience with field-based roles in Market Access or Access & Reimbursement.
Knowledge of Medicare Advantage, Medicaid, and commercial payer landscape.
Strong business acumen and the ability to connect reimbursement strategy to commercial growth.

Responsibilities

Serve as the primary field-facing contact for all access and reimbursement-related inquiries from assigned accounts.
Analyze and resolve reimbursement barriers, working cross-functionally with providers, internal revenue cycle teams, and payers when needed.
Track and report access challenges, trends, and opportunities in real-time.
Train provider staff on co-pay support, prior authorization processes, and coverage requirements to reduce delays and denials.
Zio service billing and coding requirements
Documentation and medical necessity criteria
Prior authorization, claims appeals, and coverage trends
Integration of financial assistance programs into workflows
Act as a regional subject matter expert on payer policy coverage, reimbursement pathways, acquisition models, and claims workflows.
Support pull-through of payer coverage policies, LCM decisions, and ensure alignment with commercial and market access strategy.
Identify evolving payer policies or state/federal regulation shifts and proactively communicate their impact to internal stakeholders.
Partner with Sales (AVPs, RSDs, TMs), Revenue Cycle, Legal/Compliance, RCM and Patient Support to ensure seamless account engagement.
Collaborate with the Market Access team to build and execute regional access strategies.
Coordinate onboarding for new accounts with billing and service line integration support.
Maintain deep knowledge of CMS policies (especially Medicare Parts B & D), commercial payer processes, and HIPAA compliance.
Act as an internal consultant on best practices to streamline access workflows and improve the provider/patient experience.
Use data to identify trends in denials, access delays, or payer barriers, and share insights to improve access pathways.
Identify opportunities for ConAl savings
Support market access dashboards and key performance metrics related to reimbursement and account performance.
Contribute insights from the field to enhance strategic decisions on coding, documentation, and patient affordability programs.