Reimbursement and Market Access Specialist (REMOTE)

Stryker; Lansing (MI); Remote; USD 80,000 - 107,000; Full time

Job summary

A leading medical devices company is seeking a Reimbursement Specialist who will play a crucial role in managing reimbursement inquiries and processes. The position offers remote work flexibility and opportunities for professional growth. Candidates should have a solid foundation in medical coding and an understanding of healthcare reimbursement systems, ensuring compliance and effective communication with various stakeholders.

Benefits

Bonus eligibility

Career advancement opportunities

Flexible remote work

Qualifications

• Relevant degree or 6+ years of experience in medical coding.
• Strong understanding of reimbursement processes and coding.
• Experience with Medicare and commercial payer policies.

Responsibilities

• Respond to reimbursement inquiries from various stakeholders.
• Research and interpret reimbursement codes and payer policies.
• Support prior authorizations, denials, and appeals.

Skills

Medical coding

Reimbursement processes

Compliance with HIPAA

Education

Bachelor’s degree

Job description

Employer Industry: Medical Devices

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

What to Expect (Job 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 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
- Manage and track inquiries to identify trends and inform strategic improvements

What is Required (Qualifications):
- Bachelor’s degree; or associate’s degree with 4 years of relevant experience; or a high school degree and 6+ years of related experience
- Strong understanding of medical coding, coverage, and reimbursement processes
- Experience working with Medicare, Medicare Advantage, Medigap, and commercial payer policies
- Familiarity with prior authorizations, denials, and appeals workflows
- Ability to uphold compliance with HIPAA and company guidelines in all communications

How to Stand Out (Preferred Qualifications):
- 1+ year of experience in medical coding and reimbursement processes
- 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

#MedicalDevices #ReimbursementSpecialist #RemoteWork #CareerOpportunity #HealthcareIndustry

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.