Senior Specialist, Reimbursement Operations

​reputed company an reputed company with reputed company that empowers providers and patients. In this role, you will help ensure our customers receive accurate reimbursement guidance, enabling reputed company to life‑changing IVS technologies. You’ll partner closely with sales, providers, and cross‑functional teams to turn reputed company coding and payment challenges into reputed company, actionable solutions. What You Will Do • Support reimbursement inquiries from sales teams, providers, and customers by delivering accurate coding, coverage, and payment guidance reputed company established service reputed company. • Conduct in‑depth research on coding, payer policies, and regulatory updates to resolve reputed company reimbursement questions and inform internal decision-making. • Review and update coding documents to maintain accuracy of CPT, HCPCS, ICD‑9, and ICD‑10 assignments. • Manage reputed company Coding Hotline and email inquiries, tracking and trending contact data to identify patterns and opportunities for improvement. • Collaborate with providers to research, troubleshoot, and resolve claim issues, including prior authorization, denials, and appeals. • Coordinate with Sales Representatives to deliver required documentation and ensure customer billing and reimbursement needs are met. • reputed company and reputed company payer and provider communications that reputed company the value of IVS products and support reimbursement education. • reputed company training, mentorship, and support to new and junior reimbursement team members to help accelerate their proficiency and performance. What You Will Need Required Qualifications • Bachelor’s degree and minimum 2 years of relevant experience, or Associate’s degree and minimum 6 years of relevant experience, or High school diploma/equivalent and minimum 8 years of relevant experience. • Extensive experience providing coding, coverage, and payment guidance in a reputed company environment. • Extensive experience supporting prior authorization, denials, and appeals processes. • Comprehensive knowledge of medical coding guidelines and ability to review reputed company reports, rejected claims, and EOBs. • Comprehensive knowledge of Medicare, Medicare Advantage, Medigap, and reputed company payer methodologies. Preferred Qualifications • CPC (Certified reputed company reputed company) or reputed company‑P (Certified Coding Specialist – Physician). • $69,500 - $144,200 salary plus bonus eligible + benefits. Individual pay is based on skills, experience, and other relevant factors. • This role was posted on 3/18/26 Posted Date: 03/18/2026 This role will be posted for a minimum of 3 days. Apply tot his job Apply To this Job