Post by Deleted on May 31, 2016 15:47:27 GMT
While perusing the interwebs I found Jodi Crawford's LinkedIn profile. She's our Senior Director of Reimbursement.
Between 2000 and 2003: Acted as liaison to oncology sales team for Noridian carrier and other key insurance carriers in the CO, WY, NE & NM area (i.e. BC/BS KS, BC/BS AR). Educated sales team on important oncology issues such as changes in reimbursement, announcements from Medicare (CMS) through ACCC (American Community Cancer Cooperative) alerts and Medicare bulletins. Specialized in presentations and training on the education of Evaluation and Management services (CPT coding) to individual and large group practices in the oncology and urology markets; also trained physicians in procedural coding through American Academy of Certified Professional Coders. Responsibilities included PowerPoint presentations (creating and presenting), practice expansion programs for target physicians (marketing, speaker programs) and further provision of educational opportunities. Trained by Physician Reimbursement Systems Consultant firm, Denver. Carrier involvement includes: direct contact with Medical Director, Noridian regarding discussions on policies and important coverage/reimbursement issues for oncology, urology, and orthopedic surgery.
FROM LinkedIn Profile
Senior Director Reimbursement
OPKO Diagnostics, LLC
January 2015 – Present (1 year 5 months)
Secure reimbursement for the 4Kscore test (diagnostic test for determining the risk of developing aggressive prostate cancer) with Medicare, commercial insurance and third-party administrators (ACO, PPO, other provider networks.) Develop strategies to increase contractual arrangements for the AP services for OPKO Lab. Responsible for preparation of clinical dossier and submission of data for LCD (local coverage decision) with Cahaba GBA, Medicare. Prepare and present clinical presentations to medical directors, provider relations personnel and other key stakeholders who control and manage reimbursement and provider networks at health plans. Develop strategy and messaging for OPKO sales team to ensure pull through of billing and reimbursement for the 4Kscore test. Collaborate with President, VP of Sales and Medical Affairs to drive utilization and acceptance of the 4Kscore test in the urology and medical community.