Market Access & Reimbursement Specialist

Oberlin, OH - USA

Yearly Salary: USD 82500 - 110000

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Synapse Biomedical is a global leader in life-altering neurostimulation technologies including the NeuRx DPS TransAeris and Synchrony systems. Dedicated to the research development and commercialization of innovative medical devices we create pioneering solutions that give patients new hope and equip clinicians with advanced tools to improve treatment pathways. Our mission is to advance patient outcomes and transform standards of care worldwide by reaching beyond traditional treatment methods and setting a new benchmark for medical innovation. At Synapse Biomedical youll join a passionate mission-driven team committed to ethics excellence and making a measurable impact on patients lives while contributing to technologies that shape the future of respiratory care and neuromodulation. .

We have a job opening for a Market Access & Reimbursement Specialist Collaborate and grow with us while helping others live a better life!

Position Overview

The Market Access & Reimbursement Specialist plays a critical role in ensuring patients providers and facilities can seamlessly access Synapse Biomedicals medical device technologies. This highly visible customer-facing position supports reimbursement operations education and market access strategy. The ideal candidate enjoys building relationships thrives in a collaborative environment communicates effectively with diverse stakeholders and excels at resolving complex reimbursement challenges.

Key Responsibilities

Reimbursement Operations & Customer Support:

Research troubleshoot and resolve reimbursement obstacles in partnership with providers and payers.
Respond to coding coverage and payment inquiries from physicians hospitals clinical teams and internal partners.
Support patients caregivers and referral sources by providing accurate information and processing orders for devices and DME.
Verify insurance eligibility process claims adjustments and refunds and ensure payer and regulatory compliance.
Review CPT-4 ICD-10 UB04 HCFA 1500 and charge accuracy to maximize reimbursement outcomes.

Education Communication & Resource Development:

Provide compliant reimbursement education to Sales clinical specialists physicians and facilities.
Develop tools presentations and training resources that strengthen market access and reimbursement success.
Deliver live training sessions for internal and external audiences.
Represent the company at industry tradeshows and events serving as a reimbursement subject-matter expert.

Market Access Strategy & Collaboration:

Collaborate with reimbursement consultants on complex claims payer advocacy and coverage initiatives.
Support contracting coverage and payer policy efforts that expand access to Synapse technologies.
Maintain up-to-date knowledge of payer trends regulatory requirements and reimbursement environments.
Track and report reimbursement performance coverage trends and strategic initiatives.
Work cross-functionally with Sales Marketing Quality/Regulatory and Engineering.

Qualifications

Bachelors degree in Business Finance Healthcare or related field or equivalent experience.
Minimum 3 years experience in medical device reimbursement; neuromodulation experience preferred.
Demonstrated expertise in all MS Office programs including Word Excel PowerPoint and Outlook; ability to learn additional programs such as database creation.
Strong expertise in payer policies medical coding coverage requirements and reimbursement processes.
Proficiency with EPIC SSI OnBase and payer portals.
Excellent communication and presentation skills; strong analytical and organizational abilities.
Ability to type 45 WPM and maintain sustained focus on complex documentation.
Willingness to travel up to 30%; valid drivers license and clean driving record.

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Required Experience: