Lead Reimbursement Specialist
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Job Location:
Austin, TX - USA
Monthly Salary:
$ 77700 - 168400
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Make an impact with a team that empowers providers and patients. In this role you will help ensure our customers receive accurate reimbursement guidance enabling access to lifechanging IVS technologies. Youll partner closely with sales providers and crossfunctional teams to turn complex coding and payment challenges into clear actionable solutions.
What You Will Do
- Support reimbursement inquiries from sales teams providers and customers by delivering accurate coding coverage and payment guidance within established service levels.
- Conduct indepth research on coding payer policies and regulatory updates to resolve complex reimbursement questions and inform internal decision-making.
- Review and update coding documents to maintain accuracy of CPT HCPCS ICD9 and ICD10 assignments.
- Manage all Coding Hotline and email inquiries tracking and trending contact data to identify patterns and opportunities for improvement.
- Collaborate with providers to research troubleshoot and resolve claim issues including prior authorization denials and appeals.
- Coordinate with Sales Representatives to deliver required documentation and ensure customer billing and reimbursement needs are met.
- Develop and deploy payer and provider communications that highlight the value of IVS products and support reimbursement education.
- Provide training mentorship and support to new and junior reimbursement team members to help accelerate their proficiency and performance.
What You Will Need
Required Qualifications
- Bachelors degree and minimum 4 years of relevant experience or
Associates degree and minimum 8 years of relevant experience or
High school diploma/equivalent and minimum 10 years of relevant experience. - Extensive experience providing coding coverage and payment guidance in a healthcare environment.
- Extensive experience supporting prior authorization denials and appeals processes.
- Comprehensive knowledge of medical coding guidelines and ability to review operative reports rejected claims and EOBs.
- Comprehensive knowledge of Medicare Medicare Advantage Medigap and commercial payer methodologies.
Preferred Qualifications
- CPC (Certified Professional Coder) or CCSP (Certified Coding Specialist Physician).
$77700 - $168400 salary plus bonus eligible benefits. Individual pay is based on skills experience and other relevant factors.
This role was posted on 2/12/26
Required Experience:
IC
Key Skills
- Administrative Skills
- Facilities Management
- Biotechnology
- Creative Production
- Design And Estimation
- Architecture
About Company
Stryker is a global leader in medical technologies and, together with its customers, is driven to make healthcare better. The company offers innovative products and services in MedSurg, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongsid ... View more
