Senior Reimbursement and Market Access Specialist; Remote

Employer Industry: Medical Technology

• Salary up to $144,200 plus bonuses and benefits
• Opportunity for career advancement and growth within the organization
• Flexible remote work environment
• Collaborative team culture focused on empowering providers and patients
• Chance to make a significant impact on customer access to life-changing technologies

• Support reimbursement inquiries from sales teams, providers, and customers by delivering accurate coding, coverage, and payment guidance
• Conduct in-depth research on coding, payer policies, and regulatory updates to resolve complex reimbursement questions
• Review and update coding documents to maintain accuracy of CPT, HCPCS, ICD-9, and ICD-10 assignments
• Collaborate with providers to troubleshoot and resolve claim issues, including prior authorization, denials, and appeals
• Provide training and mentorship to new and junior reimbursement team members

• Bachelor’s degree and minimum 2 years of relevant experience, or Associate’s degree and minimum 6 years of relevant experience, or High school diploma/equivalent and minimum 8 years of relevant experience
• Extensive experience providing coding, coverage, and payment guidance in a healthcare environment
• Extensive experience supporting prior authorization, denials, and appeals processes
• Comprehensive knowledge of medical coding guidelines and ability to review operative reports, rejected claims, and EOBs
• Comprehensive knowledge of Medicare, Medicare Advantage, Medigap, and commercial payer methodologies

• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)

#Medical Technology #Healthcare Careers #Remote Work #Career Growth #Coding Expertise

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