Reimbursement Specialist

3 months ago
Requisition ID
Job Location(s)
Bloomington IN United States
Position Type
Full Time
Cook Inc.
Regulatory Affairs


The Reimbursement Specialist at Cook Inc. assists the reimbursement team with reimbursement assessment/coverage analysis at the local and national level for Medicare and major private payers.


• Assist with clinical trials by providing research sites with COOK’s Medicare reimbursement packet and guidance
• Develop working knowledge of CPT, HCPCS and ICD-9 codes and available resources (the AMA, consultants, professional society coding hotlines, etc.) to identify the correct coding and reimbursement levels for procedures in which Cook devices are used
• Provide support to Cook customers when coding and reimbursement questions arise in regard to the use of Cook devices
• Provide support and training to the Cook sales and marketing teams in addressing coding and reimbursement issues
• Ability to search Medicare’s national and local coverage policy, along with commercial insurance medical policy databases

• Ability to read and understand Medicare regulations, coverage policies, program transmittals, etc.


• Bachelors Degree preferred, or experience of such kind and amount as to provide a comparable background
• Knowledge of U.S. healthcare provider payment systems (physician, in-patient/out-patient hospital, ambulatory surgery system, etc.), with emphasis on Medicare payment systems

• Knowledge of coding systems in the U.S. healthcare payment systems: CPT, HCPCS Level II, DRG, ICD-9 & ICD-10 diagnosis and procedure codes, APC, pass-through codes, etc.


Minimum Work Experience/ Educational Requirments:

• Works under general office environmental conditions.
• Sitting for extended periods, utilizes close visual acuity for working with
  computers, etc.


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