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Senior Reimbursement and Market Access Specialist (Remote)

$69.1k - $139.6k

Stryker

What you will do: As a Senior Market Access and Reimbursement Specialist, you will support the day-to-day reimbursement inquiries from field sales representatives, physicians, Ambulatory Surgical Center (ASC), and hospital customers related to Interventional Spine (IVS) procedures. In this role, you will review and support 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 staff, and salesforce, including site visits as needed. Communicates with clinical and office staff, providers, and salesforce regarding missing, incomplete, or inconsistent documentation 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, tracking and trending data related to contacts reporting information. Accurately follows Stryker HIPAA policies, guidelines, and legal requirements to ensure compliance. What you need: Bachelor's degree plus 2 years of relevant experience or associate's degree plus 6 years of relevant 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 in coding guidelines, medical procedures, and services to appropriately review OP reports/notes, rejected claims, and EOBs. 2+ years of experience working with Medicare, Medicare Advantage, Medigap, and private/commercial payer methodologies. Licensure or certification: CPC or CCS‑P is preferred. Salary and Benefits: $69,100 - $139,600 salary plus bonus eligible, plus benefits. 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 HSA, FSAs, 401(k) 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. Stryker impacts more than 150 million patients annually. Employees in sales and field roles may be required to obtain various vaccinations as an essential function of their role. Posting Information: This role was posted on 3/25/2026. Posted Date: 03/26/2026. This role will be posted for a minimum of 3 days. #J-18808-Ljbffr

Vacancy posted 3 days ago
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