Reimbursement and Market Access Specialist (REMOTE)
Reimbursement and Market Access Specialist (REMOTE)
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$ 58700 - 106200
1 Vacancy
Job Description
What Youll Do:
As our Reimbursement and Market Access Specialist youll play a key role in ensuring patient access to our innovative IVS products by supporting healthcare providers through the complex reimbursement landscape. Youll be the go-to expert for both internal teams and external customers on coding coverage payment and patient access processesensuring successful navigation of the billing prior authorization and appeals process.
Key Responsibilities:
Respond to day-to-day reimbursement inquiries from field sales teams physicians ASCs and hospital providers.
Provide accurate and timely information via phone voicemail email and our Coding Hotline.
Research and interpret reimbursement codes and payer policies (CPT HCPCS ICD-9/10).
Support providers and office staff with prior authorizations denials and appeals.
Troubleshoot and resolve reimbursement challenges in collaboration with customers and internal teams.
Ensure proper documentation and accurate coding to optimize claim success.
Manage and track inquiries to identify trends and inform strategic improvements.
Assist in communicating the value of Stryker IVS products to payers and providers.
Uphold compliance with HIPAA and company guidelines in all communications.
Contribute to the development of reimbursement tools and resources to support broader strategic goals.
What You Need:
Required Qualifications:
Bachelors degree; or associates degree with 4 years of relevant experience; or a high school degree and 6 years of related experience.
Preferred Qualifications:
1 year of experience in medical coding coverage and reimbursement processes.
1 year of experience working with Medicare Medicare Advantage Medigap and commercial payer policies.
1 year of experience working with prior authorization denials and appeals workflows.
1 year of experience reviewing and interpreting operative notes claims EOBs and other clinical documentation.
Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) strongly preferred.
Why Join Us
At Stryker youll be part of a purpose-driven team that values integrity performance and people. The salary will be between $58700 - $106200 plus bonus eligible benefits. Actual minimum and maximum may vary based on pay is based on skills experience and other relevant factors.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
