Reimbursement Coordinator II

We anticipate the application window for this opening will close on - 26 Oct 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life The Neuromodulation Operating Unit partners with healthcare providers, patients, and payers to help ensure timely access to Medtronic therapies. The reimbursement and prior authorization function supports patient access by navigating payer requirements, coverage policies, and authorization workflows across Medicare, Medicaid, and commercial health plans. Check us out on LinkedIn: Medtronic Brain Modulation and Pain Interventions 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 to support prior authorization and reimbursement activities. This role is responsible for coordinating prior authorization activities to support patient access to Neuromodulation therapies. The Prior Authorization Representative works closely with healthcare provider offices, payers, field teams, and internal partners to verify insurance coverage, facilitate authorization submissions, monitor case progress, resolve reimbursement-related issues, and support coverage approvals. Primary 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 to support authorization submissions. Monitor authorization status and proactively 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. Required Qualifications 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. Preferred Qualifications 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. 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. Physical Job Requirements The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role. U.S. Work Authorization & Sponsorship At Medtronic, we are committed to fostering an environment where employees can thrive and make a meaningful impact. In alignment with our enterprise-wide workforce planning approach, U.S. work authorization sponsorship (H-1B, TN, J, etc.) is offered exclusively for Principal-level roles and above, where specialized expertise aligns with long-term business needs. Roles below the Principal level require candidates to possess unrestricted U.S. work authorization at the time of hire and for the duration of employment. ‌ Recruitment Fraud Alert We are aware of phishing scams targeting job seekers. Please keep the following in mind: Apply only through official Medtronic channels. All legitimate Medtronic recruiting communications come from approved Medtronic platforms and official @medtronic.com email addresses. Medtronic will never ask for payment or sensitive personal information (such as bank account or Social Security details) during early stages of the hiring process. Any such requests are not legitimate. If you receive a suspicious message claiming to be from Medtronic, do not respond, click links, or open attachments. If you have any questions, concerns regarding the authenticity of a communication alleged to have been made by or on behalf of Medtronic, please contact us immediately at . ‌ Benefits & Compensation Medtronic offers a competitive Salary and flexible Benefits Package A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. Salary ranges for U.S (excl. PR) locations (USD):$42,400.00 - $63,600.00 ‌ This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP). The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others). The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: 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 , and Simple Steps (global well-being program). The following benefits and additional compensation are available to all regular employees: 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 (subject to IRS earning minimums) , and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums). Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico. Further details are available at the link below: Medtronic benefits and compensation plans It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities. If you are applying to perform work for Medtronic, Inc. 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