Senior Reimbursement and Market Access Specialist (Remote)

What You Will Do

• Support reimbursement inquiries from sales teams, providers, and customers by delivering accurate coding, coverage, and payment guidance within established service levels.

• Conduct in‑depth research on coding, payer policies, and regulatory updates to resolve complex 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 all 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.

• Develop and deploy payer and provider communications that highlight the value of IVS products and support reimbursement education.

• Provide 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 healthcare environment.

• Extensive experience supporting prior authorization, denials, and appeals processes.

• Comprehensive knowledge of medical coding guidelines and ability to review operative reports, rejected claims, and EOBs.

• Comprehensive knowledge of Medicare, Medicare Advantage, Medigap, and commercial payer methodologies.

Preferred Qualifications

• CPC (Certified Professional Coder) or CCS‑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 2/13/26