Kristoffer Goetzke, COC
Prior Lake,MN
Summary
Results-driven Manager with expertise in market access strategy, team leadership, and process improvement. Proven ability to develop and implement strategic plans that enhance operational efficiency and drive organizational success.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Manager, Reimbursement & Market Access
Inspire Medical Systems
Golden Valley, MN
01.2025 - Current
- Led and managed a team of four Field Reimbursement Managers supporting more than 1,500 facilities and 5,000 clinics, driving high productivity and exceptional customer service.
- Developed and executed strategic initiatives aligned with corporate objectives, including authoring formal submissions to CMS proposed rules for reimbursement revaluation.
- Participated in strategic discussions with medical society leadership to support coordinated efforts for reimbursement policy reform.
- Supported and played a pivotal role in discussions with CMS to influence APC alignment and CPT coding policy changes.
- Provided steady leadership during periods of organizational change and high-pressure situations, ensuring continuity of operations and team engagement.
- Coached, mentored, and trained team members to enhance performance, professional development, and accountability.
- Designed and implemented onboarding and training programs for new hires on company protocols, systems, and tools.
- Recruited, interviewed, and hired high-quality candidates to meet evolving business needs.
- Ensured full compliance with applicable laws, regulations, and industry standards.
- Implemented process improvements that increased operational efficiency and improved workflow consistency.
Reimbursement Manager (2 internal promotions)
Inspire Medical Systems
Golden Valley, MN
03.2020 - 01.2025
- Presented (in person) to groups of 125 + physicians on high level Market Access strategy as we as education on coding, coverage, and payment.
- Worked with cross-functional business partners including executive leadership, Vice Presidents, and ~300 sales representatives as the subject matter expert for coding, coverage, and payment.
- Facilitated and presented to surgeons, ASCs, and hospital medical professionals (C-Suite, OR staff, purchasing, supply, contracting, revenue cycle, coding, billing)
- Conducted Market Access Business Reviews with key accounts resulting in claim recovery of hundreds of thousands of dollars
- Designed and developed a reimbursement strategy specific to the utilization of remote monitoring code sets
- Developed and maintained materials such as reimbursement guides, calculators, and slide decks.
- Managed and monitored national/regional trends with Medicare and commercial payor medical policies
- Communicated directly with payors to resolve complex reimbursed related issues. For example, gross underpayment of a device-intensive procedure in an ASC setting
Prior Authorization Specialist
Inspire Medical Systems
Golden Valley, MN
07.2018 - 03.2020
- Reviewed prior authorization requests for medical procedures and services.
- Collaborated with healthcare providers to gather necessary documentation.
- Communicated with patients regarding authorization status and requirements.
- Analyzed denial letters to determine next steps for appeals.
- Maintained accurate records of all authorization requests processed.
- Covered prior authorization requests for 10 states
- Volunteered on project to implement smooth transition to new prior authorization database
- Solved disconnect between commercial payor utilization management and appeals departments, leading to increased efficiencies when updating authorization numbers and date rates
Market Access Intern
Inspire Medical Systems
Golden Valley, MN
06.2017 - 08.2017
- Worked closely with the prior authorization department to submit prior authorization requests
- Reviewed patient records to confirm patients met policy criteria
- Communicated with accounts to obtain appropriate medical record documentation
Education
Bachelor of Arts - Biochemistry
Minnesota State University
Mankato, MN05-2018
Skills
- Market access strategy
- Reimbursement analysis
- Team leadership
- Process improvement
- Strategic planning
- Cross-functional collaboration
- Complex Problem-solving
- Coaching and mentoring
Certification
Certified Outpatient Coder
Timeline
Manager, Reimbursement & Market Access
Inspire Medical Systems
01.2025 - Current
Reimbursement Manager (2 internal promotions)
Inspire Medical Systems
03.2020 - 01.2025
Prior Authorization Specialist
Inspire Medical Systems
07.2018 - 03.2020
Market Access Intern
Inspire Medical Systems
06.2017 - 08.2017
Bachelor of Arts - Biochemistry
Minnesota State University