Reimbursement and Market Access Specialist (REMOTE)

Stryker; Orlando (FL); Remote; USD 85,000 - 107,000; Full time

Job summary

A leading company in medical devices is seeking candidates for a remote position focusing on reimbursement. This role involves addressing inquiries related to reimbursement processes, supporting healthcare providers, and requires a strong background in medical coding and coverage policies. With competitive pay and opportunities for advancement, this position is ideal for individuals looking to contribute to impactful healthcare solutions.

Qualifications

• Must have experience in medical coding, coverage, and reimbursement processes.
• Experience with Medicare, Medigap, and commercial payer policies.
• Knowledge of prior authorization, denials, and appeals workflows.

Responsibilities

• Respond to day-to-day reimbursement inquiries from field sales teams.
• Provide accurate information via phone, voicemail, email.
• Research and interpret reimbursement codes and payer policies.

Skills

Medical coding

Reimbursement processes

Coverage knowledge

Education

Bachelor's degree

Associate's degree with 4 years experience

High school diploma with 6+ years experience

Job description

Employer Industry: Medical Devices 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
- Work remotely with a flexible schedule
- Be part of a purpose-driven team that values integrity, performance, and people
- Contribute to the development of reimbursement tools and resources to support strategic goals

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 the 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

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
- Must have experience in medical coding, coverage, and reimbursement processes
- Experience working with Medicare, Medicare Advantage, Medigap, and commercial payer policies
- Experience working with prior authorization, denials, and appeals workflows
- Proficient in reviewing and interpreting operative notes, claims, EOBs, and other clinical documentation

How to Stand Out (Preferred Qualifications):
- 1+ year of experience in medical coding, coverage, and reimbursement processes
- Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) strongly preferred

#MedicalDevices #Healthcare #RemoteWork #CareerOpportunity #CompetitivePay

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