[Hiring] Senior Reimbursement Specialist @MicroTransponder
Apr 02, 2025 - MicroTransponder is hiring a remote Senior Reimbursement Specialist. 💸 Salary: unspecified. 📍Location: USA.
Role Description
The Senior Reimbursement Specialist plays a key role in supporting appropriate and timely reimbursement for the Vivistim implant and associated paired rehabilitation therapy. Working under the guidance of the Reimbursement Manager and VP of Market Access & Reimbursement, this role assists in claim submission, denial management, and payer-related inquiries.
- Collaborate with provider and facility financial services teams, revenue integrity staff, and the field sales team to help resolve reimbursement issues.
- Research payer policies and support appeals.
- Assist in claim submission, denial management, and reimbursement-related troubleshooting to ensure accurate and timely payments.
- Support hospitals, rehabilitation clinics, and revenue integrity teams in navigating reimbursement processes, including claim corrections and appeals.
- Work closely with the Reimbursement Manager to research payer policies, identify coverage challenges, and assist in resolving reimbursement barriers.
- Help develop and maintain reimbursement-related materials, including billing guides, training slide decks, presentations, and budget impact tools/calculators.
- Provide support for payer outreach efforts, including gathering necessary documentation for coverage reviews and policy considerations.
- Respond to provider and facility inquiries regarding payer medical policies, prior authorization requirements, claim denials, and appeals processes.
- Collaborate with the field sales team, providing reimbursement insights and supporting their efforts in addressing access challenges at healthcare facilities.
- Monitor payer trends and policy updates, ensuring internal teams are informed of changes that may impact reimbursement.
- Maintain accurate records of all communications with providers, payers, sales teams, and internal stakeholders.
- Ensure accuracy of coding and billing by supporting the review of CPT, HCPCS, and ICD-10 codes and reimbursement guidelines.
- Support internal reimbursement projects and initiatives to improve processes and optimize access to Vivistim therapy.
- Other duties as assigned.
Qualifications
- Minimum 5 years of progressive experience in reimbursement, claims processing, payer policy navigation, and appeals.
- AAPC Certified Outpatient Coder (COC) or equivalent certification (CPC, CCS, or similar) preferred.
- Minimum Bachelor’s degree required; Associate’s degree with relevant experience may be considered.
- Familiarity with hospital charging and billing practices, including CPT, HCPCS, ICD-10 coding, and billing modifiers.
- Knowledge of Medicare and Commercial claims submission, billing, and appeals, with the ability to review and interpret explanation of benefits (EOBs) and remittance advice (RA) documents.
- Experience with both professional (CMS-1500) and facility (UB-04/CMS-1450) billing preferred.
- Strong attention to detail, organizational skills, and ability to manage multiple tasks in a fast-paced environment.
Preferred Qualifications
- Experience with Salesforce®, EPIC Systems®, or other EHR/ERP systems.
- Prior experience supporting a medical device reimbursement team is a plus.
Benefits
- Comprehensive benefits program including medical, dental, and vision plans along with an FSA.
- Participation in the company 401(k) plan with company matching.
- Unlimited Paid Time Off (PTO) program and approximately 15 paid company holidays per year.
Company Description
MicroTransponder, Inc. is a privately held medical device development company with a strong neuroscience research focus. An experienced team of scientists and engineers have developed a neurostimulation technology platform to treat neurological conditions, including post-stroke motor rehabilitation and tinnitus.
MicroTransponder is rapidly expanding its team and seeks talented individuals with a passion for stroke rehabilitation and neuromodulation.
MicroTransponder is an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
|
Salary
💸
unspecified
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 02, 2025
|
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
