Senior Reimbursement and Market Access Specialist (Remote)

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.

Requirements

• 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
• 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, Medicare Advantage, Medigap and private/commercial payer methodologies
• CPC (Certified Professional Coder through American Academy of Professional Coders) or CCS-P (Certified Coding Specialist Physician based through American Health Information Management Association) is preferred

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan