Overview
Why consider this job opportunity:
- Salary up to $117,600
- Eligibility for the Medtronic Incentive Plan (MIP) for short-term incentives
- Comprehensive benefits package including health, dental, and vision insurance, tuition assistance, and paid time off
- Opportunity for career advancement within a global leader in healthcare technology
- Remote work flexibility with minimal travel requirements
- Supportive work environment focused on innovation and patient care
Responsibilities
- Assist physicians, hospitals, and patients with understanding coverage policies, prior authorization, and denial management for renal denervation
- Validate patients\' insurance coverage and benefits, and check prior authorization requirements
- Coordinate and submit necessary paperwork and clinical notes for authorization
- Follow up with payers to monitor authorization status and relay updates to stakeholders
- Write persuasive appeal letters to address payer objections and submit appeals according to payer processes
Qualifications
- Bachelor\'s degree
- Minimum of 2 years of experience in case management, prior authorization, or utilization review
- Strong written and verbal communication skills
- Exceptional customer service and problem-solving abilities
- Ability to effectively manage multiple customer requests
Preferred Qualifications
- Understanding of healthcare payment processes, reimbursement, and coverage issues
- Clinical nursing experience preferred
- Familiarity with Medtronic reimbursement policies and procedures
- Proven relationship-building skills with various stakeholders
- Proficiency in Microsoft Office (Outlook, Word, Excel & PowerPoint)
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