Engineering the extraordinary
Reimbursement Coordinator II
Location
United States
Posted
9 days ago
Salary
$42.4K - $63.6K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Reimbursement Coordinator II
Medtronic
Role Description The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. The representative will ensure patient insurance coverage and benefits, identify requirements for prior approval, and submit for authorization. Assists with appealing prior authorization denials, retro authorization, or other special cases. This position is remote to enhance our competitive edge and expand cross-functional collaboration. This role will require some travel to enhance collaboration and ensure the successful completion of projects. A Day in the Life - Validates insurance patient’s coverage, communicates any issues with benefits or coverage to the appropriate managers. - Checks the requirements for prior authorization and initiates as required. - Coordinates required paperwork, clinical notes, and forms for submission to support requests and initiates as required. - Follows up frequently to ensure visibility on authorization status throughout the approval process. - Basic knowledge of the payer payment process, with detailed knowledge of the payer prior authorization process. - Basic ICD9/10 and CPT code familiarity, expert knowledge on a subset of Medtronic therapy codes. - Superior customer service skills with outstanding communication skills to use with various stakeholders: physicians, sales representatives, payer representatives, utilization reviewers, and various internal and external stakeholders. - Advanced Microsoft Excel skills. Ability to learn and use multiple CRM software programs as needed. - Good organizational skills with the ability to handle multiple inquiries at the same time, and critical problem-solving skills with high attention to detail. Qualifications - Minimum of 4 years of relevant experience. - 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. Requirements - 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. Benefits - 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 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. - 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). - Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).
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