Reimbursement Coordinator II

Medtronic

. Verify patient insurance benefits, coverage eligibility, and prior authorization requirements .

Posted 10/23/2026full-timeRemote • New Jersey • United StatesJuniorMid-Level💰 $42,400 - $63,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorization processes, including verification of patient insurance benefits and coordination of medical documentation. Proficient in analyzing authorization denials and collaborating with healthcare providers and payers to ensure timely coverage decisions.

Highest-signal resume keywords

Prior Authorization ExperienceMedicare And Medicaid KnowledgeICD-10 And CPT Coding KnowledgeAAPC Coding CertificationMicrosoft Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior AuthorizationInsurance VerificationReimbursement ProcessesMedical Documentation ReviewCase ManagementHealthcare Revenue CyclePayer OperationsCoding Information CoordinationAuthorization Criteria InterpretationDenial Analysis

Soft Skills

CollaborationCommunicationProblem-SolvingOrganizational SkillsAttention To Detail

Tools & Technologies

SalesforceHealthcare Workflow SystemsCustomer Relationship Management (CRM)Patient Access PlatformsMicrosoft Excel

Certifications & Qualifications

AAPC Coding Certification

Industry Keywords

Healthcare ReimbursementPayer RequirementsAuthorization ProcessesClinical DocumentationOperational Audits

About the role

Key responsibilities & impact

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, reimbursement pathways, and payer requirements
Maintain accurate case records, reporting data, and reimbursement resources
Support operational audits, productivity monitoring, and process improvements
Collaborate virtually with provider offices, field-based partners, payer representatives, and internal stakeholders

Requirements

What you’ll need

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
AAPC Coding Certification preferred
Experience supporting medical device, neuromodulation, or healthcare reimbursement programs preferred
Knowledge of ICD-10 and CPT coding preferred
Experience using Salesforce and healthcare reimbursement or patient access platforms preferred
For Baccalaureate degrees earned outside the United States, a degree satisfying 8 C.F.R. § 214.2(h)(4)(iii)(A) is required

Benefits

Comp & perks

Competitive salary and flexible benefits package
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 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 for eligible employees
Paid sick time for temporary employees as required by applicable state law