S
Senior Reimbursement and Market Access Specialist (REMOTE)
Stryker
1d ago
0$69k - $140kOtherRemote, USjobspy_indeed
remoteindeed
Job Description
### **Why join Stryker?**
Looking for a place that values your unique talents? Discover Stryker's award\-winning culture.
We are proud to offer you our total rewards package which includes bonuses, healthcare, insurance benefits, retirement programs, wellness programs, as well as service and performance awards – not to mention various social and recreational activities, all of which are location specific.### **Job description**
We are excited to be named one of the World’s Best Workplaces by Fortune Magazine! We are proud to offer you 12 paid holidays annually. For an overview of our benefits and time off, please follow this link to learn more:US Stryker employee benefits.**What you will do:**
As a Senior Market Access and Reimbursement Specialist, you will support the day\-to\-day reimbursement inquiries from the field sales representatives and physician, Ambulatory Surgical Center (ASC) , and hospital customers related to Interventional Spine (IVS) procedures. In this role, you will also review and support the periodic updates of coding documentation to ensure the accuracy of CPT, HCPCS, and ICD\-10 coding. Additionally, you will conduct in\-depth research on coding, coverage, and payment policies to effectively respond to customer and salesforce inquiries
* Serves as point of contact for complex reimbursement inquiries, working with cross\-functional teams to resolve issues.
* Works closely with sales, marketing, patient access, and market access teams to ensure alignment on reimbursement strategy and execution.
* Collaborates with customers to research, troubleshoot and resolve claim issues and reimbursement challenges.
* Provides support in the prior authorization, denial and appeals process to providers, clinical, office staff and salesforce to include site visits as needed.
* Communicates with clinical and office staff, providers and salesforce regarding any missing, incomplete, or inconsistent documentation and to obtain accurate billing codes as necessary.
* Assists with the deployment of payer and provider focused communications regarding the value of Stryker IVS products
* Manages all aspects of the Coding Hotline and Email contacts, responding to inquiries as needed, track and trend data related to contacts reporting information.
* Accurately follows Stryker HIPAA policies, guidelines and legal requirements to ensure compliance.
**What you need:**
Required:
* Bachelor's degree plus 2 years of relevant experience or associate's degree plus 6 years of relevant work experience or 8 years of relevant work experience plus a high school diploma.
Preferred:
* 2\+ years of experience in providing coding, coverage, and payment advice in a healthcare setting
* 2\+ years of experience with prior authorization, denials and appeals process
* 2\+ years of experience of coding guidelines, medical procedures and services to appropriately review OP reports/notes, rejected claims and EOBs
* 2\+ years of experience working with Medicare,
