Reimbursement and Market Access Specialist (REMOTE)

Stryker; Nashville (TN); Hybrid; USD 85,000 - 107,000; Full time

Job summary

A leading medical device company is seeking a Reimbursement Specialist to handle inquiries related to reimbursement processes and assist healthcare providers. The role offers substantial growth opportunities, a supportive work environment, and the chance to work flexibly. Successful candidates will have a degree in a relevant field and substantial knowledge of coding and reimbursement.

Benefits

Flexible remote work arrangement

Career advancement opportunities

Supportive team environment

Qualifications

• Bachelor’s degree; or associate’s degree with 4 years of relevant experience; or high school degree with 6+ years experience.
• Strong knowledge of medical coding, coverage, and reimbursement processes required.
• Must have experience working with Medicare and commercial payer policies.

Responsibilities

• Respond to day-to-day reimbursement inquiries from sales teams and providers.
• Research and interpret reimbursement codes and payer policies.
• Manage and track inquiries to identify trends.

Skills

Knowledge of medical coding

Coverage and reimbursement processes

Experience with Medicare policies

Prior authorization workflows

Interpreting clinical documentation

Education

Bachelor's degree

Associate's degree with relevant experience

High school degree with 6+ years of experience

Job description

Employer Industry: Medical Device and Healthcare

Why consider this job opportunity:
- Salary up to $106,200 plus bonus eligibility and benefits
- Opportunity for career advancement and growth within the organization
- Flexible remote work arrangement
- Supportive and purpose-driven team environment
- Chance to contribute to innovative healthcare solutions and improve patient access

What to Expect (Job Responsibilities):
- Respond to day-to-day reimbursement inquiries from sales teams, physicians, and healthcare providers
- Provide accurate and timely information via various communication channels
- Research and interpret reimbursement codes and payer policies
- Support providers with prior authorizations, denials, and appeals processes
- 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
- Must have strong knowledge of medical coding, coverage, and reimbursement processes
- Experience working with Medicare and commercial payer policies
- Experience with prior authorization, denials, and appeals workflows
- Knowledge of reviewing and interpreting clinical documentation

How to Stand Out (Preferred Qualifications):
- 1+ year of experience in medical coding and reimbursement processes
- Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) certification
- Experience working with operative notes, claims, and EOBs

#MedicalDevice #Healthcare #RemoteWork #CareerOpportunity #ReimbursementSpecialist

"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."