Patient Access Support Specialist - Coronary Renal Denervation

Medtronic in; Minneapolis (MN); Hybrid; USD 78,000 - 118,000; Full time

Job summary

A leading healthcare technology company seeks a Patient Access Support Specialist to assist in patient access to new technologies. The role involves working with physicians and payers to ensure insurance eligibility and manage prior authorizations. The ideal candidate will have a Bachelor's degree and experience in case management, alongside strong communication and problem-solving skills. This position offers a hybrid work model from Mounds View, MN, with a competitive salary and benefits.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Tuition Reimbursement

Qualifications

• At least 2 years' experience in case management, prior authorization, or utilization review.
• Understanding of healthcare payment processes and reimbursement.

Responsibilities

• Assist with coverage policies, prior authorization, and denial management.
• Validate patient's insurance coverage and benefits.
• Write persuasive appeal letters to address payer objections.

Skills

Communication

Problem-Solving

Organizational Skills

Customer Service

Education

Bachelor's degree

Tools

CRM Software

Microsoft Office

Job description

Patient Access Support Specialist - Coronary Renal Denervation (Finance)

We anticipate the application window for this opening will close on - 23 May 2025.

At Medtronic, you can begin a lifelong career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.

A Day in the Life

The Patient Access Support Specialist for the Coronary Renal Denervation (CRDN) Operating Unit (OU) is responsible for supporting patient access to a new technology by assisting physicians, hospitals, and patients with prior authorization and appeal management. This position interfaces with commercial and government payers to ensure patient insurance eligibility and benefits, identifies medical necessity requirements for prior approval, and submits for authorization. Ongoing provider education and support are key parts of this role to optimize coverage and reimbursement. The role also involves keeping the CRDN Reimbursement team informed on payer coverage issues and trends. All work is performed within approved guidelines, policies, and procedures, primarily delivered telephonically.

Responsibilities

1. Assist physicians, hospitals, and patients in understanding coverage policies, prior authorization, and denial management for renal denervation.
2. Validate patient's insurance coverage and benefits.
3. Check requirements for prior authorization and initiate requests as needed.
4. Coordinate required paperwork and clinical notes for submission promptly and comprehensively.
5. Follow up regularly with payers to monitor authorization status.
6. Provide timely updates to stakeholders regarding authorization and appeals.
7. Write persuasive appeal letters to address payer objections, supporting medical necessity with provider documentation, and submit in accordance with payer processes.
8. Work within guidelines, policies, and procedures using clinical knowledge and skills.
9. Stay informed on commercial and government payer coverage and prior authorization requirements.
10. Create and maintain reports on payer processes, coverage decisions, issues, and trends.
11. Collaborate on developing educational materials for physicians, hospitals, and patients.
12. Perform other duties as assigned.

Location Preference: Hybrid from Mounds View, MN preferred; remote consideration for the right candidate.

Must Have; Minimum Requirements

• Bachelor's degree
• At least 2 years' experience in case management, prior authorization, or utilization review, or an advanced degree with less experience.

Nice To Have

• Understanding of healthcare payment processes, reimbursement, and coverage issues.
• Clinical nursing experience preferred.
• Familiarity with Medtronic reimbursement policies.
• Excellent communication skills adaptable to different audiences.
• Strong customer service and problem-solving skills.
• Organizational skills including documentation, multi-tasking, and prioritization.
• Ability to learn and use CRM software.
• Knowledge of medical terminology and conditions.
• Relationship-building skills with stakeholders.
• Ability to work collaboratively in a matrixed organization.
• Proficiency with Microsoft Office.
• Self-motivated with leadership qualities.
• Ability to work effectively in teams and build relationships.
• Travel less than 10%.

Physical Job Requirements

Details include mobility, interaction with computers, communication, and accommodations for disabilities. Specifics depend on the role.

Benefits & Compensation

Competitive salary and benefits package, including health, dental, vision, HSA, FSA, life insurance, disability, tuition reimbursement, and more, with salary range: $78,400 - $117,600.

About Medtronic

We lead global healthcare technology, committed to solving challenging health problems. Our mission is to alleviate pain, restore health, and extend life, driven by a diverse team of over 95,000 people.

Learn more about our mission and diversity efforts.

Medtronic is an equal opportunity employer, committed to diversity and inclusion, and provides reasonable accommodations for individuals with disabilities.