Your responsibilities will include: - Verifies patient insurance coverage timely utilizing phone or online resources.
- Ability to complete a high Volume of authorizations in timely matter via payer specific portals and vendors Image Ensures all pertinent medical documentation is accurate and present prior to authorization submission. Image Follows up with pending authorizations on a regular basis to obtain the status or to be informed of any action needed in order to obtain the authorization approval.
- Outstanding Phone communication skills.
- Participates in educational activities and attends regular staff and department meetings.
- Exhibit and manage excellent turn-around time in order to ensure timely authorizations.
- Consistently work in a positive and cooperative manner with fellow team members and management.
- Demonstrate flexibility to perform duties wherever volume deems it necessary.
- Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner.
- Document activities appropriately in process notes.
- Possess a strong work ethic and a commitment to improving patients' lives.
- Complies with all company and department policies and procedures.
- Enjoys problem-solving in a dynamic, fast paced, team based and rapidly changing environment.
Required qualifications - 3-5 years of experience working in prior authorization, medical billing, health insurance or collections with demonstrated results.
- Good problem solving and decision-making skills.
- Excellent customer service and phone skills.
- Excellent time management, organizational, communication, multitasking and teamwork skills.
- Working knowledge of ICD-IO, CPT and HCPCS coding.
- Ability to successfully navigate between multiple systems throughout the course of the workday this includes but is not limited to billing software, and payer portals.
- Experience using Microsoft applications i.e. (Dynamics 360, Outlook, Teams and Xifin) preferred but not required.
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Among other requirements, Boston Scientific maintains specific prohibited substance testing requirements for safety-sensitive positions. This role is deemed safety-sensitive and, as such, candidates will be subject to a drug test as a pre-employment requirement. The goal of the drug testing is to increase workplace safety in compliance with the applicable law.
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.
