Patient Access Support Specialist - CRDN

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

Job summary

A leading healthcare technology company is seeking a Patient Access Support Specialist to assist with patient access to new technology. The role involves working with physicians and hospitals to manage prior authorizations and appeals. Candidates should possess a Bachelor's degree and have experience in case management or prior authorization. The position offers competitive compensation and flexible benefits, with a preference for hybrid work from Mounds View, MN.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Tuition Reimbursement

401(k)

Paid Time Off

Qualifications

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

Responsibilities

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

Skills

Communication

Customer Service

Problem Solving

Organizational Skills

Relationship Building

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Patient Access Support Specialist - CRDN

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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, 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) supports patient access to new technology by assisting physicians, hospitals, and patients with prior authorization and appeal management. This role interfaces with commercial and government payers to ensure insurance eligibility, benefits, and medical necessity requirements are met, and submissions are made for authorization. Ongoing provider education and support are key to optimizing coverage and reimbursement. The specialist also keeps the CRDN Reimbursement team informed on payer coverage issues and trends, mostly working telephonically within approved guidelines, policies, and procedures.

Responsibilities

• Assist physicians, hospitals, and patients in understanding coverage policies, prior authorization, and denial management for renal denervation.
• Validate patient insurance coverage and benefits.
• Check requirements for prior authorization and initiate requests as needed.
• Coordinate paperwork and clinical notes for timely submission.
• Follow up with payers to monitor authorization status.
• Provide updates to stakeholders.
• Write persuasive appeal letters to address payer objections, supporting medical necessity with provider documentation, and submit appeals per payer processes.
• Work within guidelines, policies, and procedures using clinical knowledge and skills.
• Stay informed on payer coverage and authorization requirements.
• Create and maintain reports on payer decisions, issues, and trends.
• Develop relevant educational materials for physicians, hospitals, and patients.
• Other duties as assigned.

Preference for candidates to work hybrid from Mounds View, MN. Remote work within the U.S. may be considered for the right candidate.

Must Have; Minimum Requirements

• Bachelor's degree.
• At least 2 years of experience in case management, prior authorization, or utilization review.
• Or 0 years with an advanced degree.

Nice To Have

• Understanding of healthcare payment, reimbursement, and coverage issues.
• Clinical nursing experience preferred.
• Familiarity with Medtronic reimbursement policies.
• Excellent communication skills adaptable to different audiences.
• Customer service and problem-solving skills.
• Strong organizational skills, including documentation and multi-tasking.
• Ability to learn multiple CRM software programs.
• 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 initiative.
• Ability to work effectively in a team.
• Travel less than 10%.

Physical Job Requirements

The statements describe general responsibilities and skills, not exhaustive. Reasonable accommodations are available for individuals with disabilities. Office role duties include mobility, interaction with computers, and communication with colleagues. Contact HR for specific work conditions and physical requirements.

Benefits & Compensation

Medtronic offers competitive salaries and flexible benefits, supporting employees at every stage of their careers and lives. Salary range for U.S. locations (excluding PR): $78,400 - $117,600. Eligible for the Medtronic Incentive Plan (MIP). Benefits include health, dental, vision, HSA, FSA, life insurance, disability leave, tuition reimbursement, well-being programs, 401(k), stock purchase, paid time off, holidays, and more. Details available at the provided link.

About Medtronic

We lead in healthcare technology, committed to solving major health challenges. Our mission is to alleviate pain, restore health, and extend life, driven by a passionate global team of over 95,000. We innovate across R&D, manufacturing, and corporate functions, with a focus on diversity and inclusion. Learn more about our values and policies, including equal employment opportunity and fair chance hiring policies.