Reimbursement and Market Access Specialist (REMOTE)

Stryker; Flower Mound (TX); Remote; USD 90,000 - 107,000; Full time

Job summary

A leading company in medical devices and healthcare solutions is seeking a Reimbursement Specialist to handle reimbursement inquiries and support healthcare providers. This role offers remote flexibility and opportunities for career advancement within a purpose-driven organization. The ideal candidate will have a focus on compliance and a background in medical coding and reimbursement processes.

Benefits

Bonus eligibility

Flexible work schedule

Career advancement opportunities

Qualifications

• Minimum 1 year of experience in medical coding and reimbursement processes.
• Experience with Medicare and commercial payer policies is required.
• Ability to handle prior authorizations, denials, and appeals workflows.

Responsibilities

• Respond to calls and emails regarding reimbursement inquiries.
• Research and interpret reimbursement codes and payer policies.
• Support providers with prior authorizations and denials.

Skills

Medical coding

Reimbursement processes

Compliance with HIPAA

Troubleshooting reimbursement challenges

Education

Bachelor’s degree

Associate’s degree with 4 years of relevant experience

High school diploma and 6+ years of related experience

Job description

Employer Industry: Medical Device and Healthcare Solutions

Why consider this job opportunity:
- Salary up to $106,200 plus bonus eligibility and benefits
- Opportunity for career advancement and growth within a purpose-driven organization
- Work remotely with the flexibility to balance personal and professional commitments
- Be part of a team that values integrity, performance, and people
- Chance to contribute to patient access to innovative medical products

What to Expect (Job Responsibilities):
- Respond to day-to-day reimbursement inquiries from sales teams, physicians, and healthcare providers
- Provide accurate information via phone, email, and the Coding Hotline
- Research and interpret reimbursement codes and payer policies
- Support providers with prior authorizations, denials, and appeals
- Troubleshoot reimbursement challenges in collaboration with customers and internal teams

What is Required (Qualifications):
- Bachelor’s degree; or associate’s degree with 4 years of relevant experience; or a high school diploma and 6+ years of related experience
- Minimum of 1 year of experience in medical coding, coverage, and reimbursement processes
- Minimum of 1 year of experience working with Medicare and commercial payer policies
- Minimum of 1 year of experience with prior authorization, denials, and appeals workflows
- Ability to uphold compliance with HIPAA and company guidelines

How to Stand Out (Preferred Qualifications):
- Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P)
- Experience reviewing and interpreting operative notes, claims, and clinical documentation

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