Reimbursement Coordinator II

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $42.4k - $63.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Medtronic

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1949

🏥 Healthcare

🏭 Manufacturing

⚕️ Healthcare Insurance

Healthcare • Manufacturing • Healthcare Insurance

Medtronic is a global leader in healthcare technology solutions, working to address the most complex and challenging medical conditions. With over 95,000 employees in more than 150 countries, the company is focused on accelerating access to healthcare technologies and advancing inclusion, diversity, and equity in healthcare. Medtronic collaborates closely with healthcare professionals to innovate and optimize treatments and therapies, thus inspiring hope and new possibilities for patients worldwide. The company's commitment to healthcare extends to its focus on impactful solutions and sustainable practices.

📋 Description

• Verify patient insurance benefits, coverage eligibility, and prior authorization requirements • Initiate, submit, and track prior authorization requests with Medicare, Medicaid, and commercial payers • Coordinate collection and review of clinical documentation, medical records, coding information, and required forms • Monitor authorization status and follow up with provider offices and payers to support timely coverage decisions • Analyze authorization denials and support reconsideration, resubmission, and appeal activities • Interpret payer coverage policies, reimbursement requirements, and authorization criteria • Partner with field personnel and healthcare provider offices to provide guidance on authorization processes and payer requirements • Maintain accurate case records, reporting data, and reimbursement resources • Support operational audits, productivity monitoring, and process improvements

🎯 Requirements

• High School Diploma and 2+ years of experience in prior authorization, reimbursement, healthcare revenue cycle, payer operations, insurance verification, or patient access support • Experience working with Medicare, Medicaid, and commercial payer authorization processes • Experience reviewing and coordinating medical documentation for prior authorization submissions • Experience using Microsoft Excel and case management, customer relationship management (CRM), or healthcare workflow systems • Experience managing multiple cases simultaneously while meeting quality and turnaround requirements • Unrestricted U.S. work authorization at the time of hire and for the duration of employment • Associate's or Bachelor's degree preferred • American Academy of Professional Coders (AAPC) Coding Certification preferred • Experience supporting medical device, neuromodulation, or healthcare reimbursement programs preferred • Knowledge of ICD-10 and Current Procedural Terminology (CPT) coding preferred • Experience using Salesforce and healthcare reimbursement or patient access platforms preferred • For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required

🏖️ Benefits

• Competitive salary and flexible Benefits Package • Health, Dental and vision insurance • Health Savings Account • Healthcare Flexible Spending Account • Life insurance • Long-term disability leave • Dependent daycare spending account • Tuition assistance/reimbursement • Simple Steps (global well-being program) • Incentive plans • 401(k) plan plus employer contribution and match • Short-term disability • Paid time off • Paid holidays • Employee Stock Purchase Plan • Employee Assistance Program • Non-qualified Retirement Plan Supplement • Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums) • Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan