Reimbursement and Market Access Specialist (REMOTE)

Lensa; Nashville (TN); Remote; USD 58,000 - 107,000; Full time

Job summary

Join a leading company as a Reimbursement and Market Access Specialist, ensuring patient access to innovative products and supporting providers through reimbursement processes. The role encompasses managing inquiries, assisting with claims, and contributing to strategic improvements. Ideal for those with experience in medical coding and reimbursement.

Benefits

Medical and prescription drug insurance

Dental and vision insurance

401(k) plan

Qualifications

• Bachelor's degree; or associate's degree with 4 years of relevant experience.
• 1+ year of experience in medical coding and reimbursement processes.
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS-P) preferred.

Responsibilities

• Respond to reimbursement inquiries from sales teams and healthcare providers.
• Support with prior authorizations and appeals.
• Ensure proper documentation for claim success.

Skills

Medical coding

Reimbursement processes

Patient access

Education

Bachelor's degree or relevant experience

Job description

Reimbursement and Market Access Specialist (REMOTE)

Stryker

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As our Reimbursement and Market Access Specialist, you’ll play a key role in ensuring patient access to our innovative IVS products by supporting healthcare providers through the complex reimbursement landscape. You’ll be the go-to expert for both internal teams and external customers on coding, coverage, payment, and patient access processes—ensuring 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:

• Bachelor’s degree; or associate’s 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, you’ll be part of a purpose-driven team that values integrity, performance, and people. The salary will be between $58,700 - $106,200 plus bonus eligible + benefits. Actual minimum and maximum may vary based on location. Individual pay is based on skills, experience, and other relevant factors.

Health benefits include: Medical and prescription drug insurance, dental insurance, vision insurance, critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation program. Financial benefits include: Health Savings Account (HSA), Flexible Spending Accounts (FSAs), 401(k) plan, Employee Stock Purchase Plan (ESPP), basic life and AD&D insurance, and short-term disability insurance. Stryker offers innovative products and services in MedSurg, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongside its customers around the world, Stryker impacts more than 150 million patients annually. Depending on customer requirements employees and new hires in sales and field roles that require access to customer accounts as a function of the job may be required to obtain various vaccinations as an essential function of their role.

Stryker Corporation is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. Stryker is an EO employer – M/F/Veteran/Disability.

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Reimbursement and Market Access Specialist (REMOTE)

What You’ll Do: As our Reimbursement and Market Access Specialist, you’ll play a key role in ensuring patient access to our innovative IVS products by supporting healthcare providers through the complex reimbursement landscape. You’ll be the go-to expert for both internal teams and external...