Boston Scientific Reimbursement Analyst II San Juan Puerto Rico 

United States, Puerto Rico 

257110549

About the role:

• Patient case management role that includes health insurance provider’s billing
• Supporting Sales organization in 7 different therapeutic areas
• Hybrid environment (3 days at the office)
• Collaborative and professional growth environment

Your responsibilities will include:

• Timely patient cases management for implant procedure. Cases management cycle includes from pre-authorization requests to health insurance providers up to billing and reconciliation cycle.
• Interactions with clinical personnel from hospitals, physicians, health insurance providers and ambulatory surgical centers
• Direct communication with Boston Scientific field clinical representatives, sales representatives and divisional leaders.
• Interaction with Boston Scientific Puerto Rico case management and billing electronic platform.
• Proactive communication with related audience for patient access to therapy on a timely basis.
• Implements reimbursement strategies by evaluating the existing business environment and ensuring either internal or external resources are available to support these strategies.
• Evaluates incoming requests from the field and ensures each request is properly evaluated for feasibility, technical risk, cost and time constraints, compliance and other relevant considerations.
• Promotes reimbursement support and represents the company to external customers by writing, phoning, visiting, hosting and participating in events.
• Visits consultants to conduct studies of their operations, assess their efficiency and cost effectiveness, and evaluate their operations for potential business contract opportunities.
• Remains aware of changing reimbursement environment by interacting with field contacts, attending professional seminars/conferences and reading industry journals.
• Participates In external organizations, conferences and seminars to keep current with industry best practices in reimbursement.

Functional Knowledge

• Requires expanded conceptual and technical and/or functional knowledge in own job function
• Broadens capabilities in applying concepts in job function

Business Expertise

• Demonstrates working knowledge of business and industry practices and company processes to accomplish own work

Leadership

• No supervisory responsibility; accountable for own contributions and meeting objectives

Problem Solving

• Uses and exercises judgment to solve problems in straightforward situations and determine appropriate action/solutions.
• Works under general direction from more senior level roles/manager

Impact

• Impacts quality of own work and the work of others on the team; works within guidelines and policies
• Interactions (and Communications)
• Explains factual information of limited complexity to others in straightforward situations
• Organizes, presents and explains data/ information, primarily to internal audiences

Required qualifications:

• Education - associate or bachelor’s degree in business or science related field o minimum two (2) years’ experience with customer service (medical related field).
• Bilingual (Spanish & English) English as a second language.
• Proactive.
• Team Player, results oriented, “Can do attitude”
• Internal and external customer focus

Preferred qualifications:

• Higher education or courses in medical coding and billing
• Medical devices experience
• Soft skills: proven ability to work with people from different clinical environments

Compensation fornon-exempt (hourly), non-sales rolesmay also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).

Compensation forexempt, non-sales rolesmay also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).

For MA positions:It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.