Reimbursement Coordinator II

Medtronic•USA-NJ, NJ
•$42,400 - $63,600•Remote

About The Position

The Reimbursement Coordinator II supports patient access to Medtronic Neuromodulation therapies by coordinating prior authorization and reimbursement activities. The role works with healthcare provider offices, payers, field teams, and internal partners to verify coverage, facilitate authorization submissions, monitor case progress, resolve reimbursement-related issues, and support coverage approvals. This is a remote position within the United States with no travel required. Team members collaborate virtually with provider offices, field-based partners, payer representatives, and internal stakeholders.

Requirements

  • High school diploma and at least 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.

Nice To Haves

  • Associate's or Bachelor's degree.
  • American Academy of Professional Coders (AAPC) Coding Certification.
  • Experience supporting medical device, neuromodulation, or healthcare reimbursement programs.
  • Knowledge of ICD-10 and Current Procedural Terminology (CPT) coding.
  • Experience using Salesforce and healthcare reimbursement or patient access platforms.

Responsibilities

  • 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 for authorization submissions.
  • 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 when appropriate.
  • Interpret payer coverage policies, reimbursement requirements, and authorization criteria to support accurate submissions and case resolution.
  • Partner with field personnel and healthcare provider offices to provide guidance on authorization processes, reimbursement pathways, and payer requirements.
  • Maintain accurate case records, reporting data, and reimbursement resources while supporting operational audits, productivity monitoring, and process improvements.

Benefits

  • Competitive salary and flexible benefits package.
  • Short-term incentive through the Medtronic Incentive Plan (MIP).
  • Health insurance.
  • Dental insurance.
  • 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 with employer contribution and match.
  • Short-term disability.
  • Paid time off.
  • Paid holidays.
  • Employee Stock Purchase Plan.
  • Employee Assistance Program.
  • Non-qualified Retirement Plan Supplement, subject to IRS earning minimums.
  • Capital Accumulation Plan, available to Vice Presidents and above or subject to IRS earning minimums.
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