Boston Scientific Patient Access Intake Specialist II 

United States, California, Santa Clarita 

587331055

Your responsabilities will include:

• Confirms case information is complete and supports medical necessity. Obtains additional information from the physician or patient as needed.
• Follows up timely on assigned tasks to ensure optimal case progression.
• Communicates internally and externally to resolve case related issues.
• Submits prior authorization requests by phone or fax to the payer.
• Manages incoming faxes and correspondence, distributing to Case Managers in a timely and accurate manner.
• Prioritizes tasks according to urgency.
• Applies pressure on health plans that refuse to review based on negative or absent coverage policy for the procedure.
• Drafts all case related communication to physicians, patients and payers in a clear and concise manner.
• Documents all case activity and correspondence for cases in a timely manner to provide chronological details of case progress.
• Acts as a resource for fellow team members and new employees
• Demonstrated ability to navigate the prior authorization process with commercial and government payers.
• Strong ability to read clinical records and extract pertinent information for submission.
• Demonstrated knowledge of payer medical policies and criteria requirements.
• Ability to follow process and protocol and communicate when/if changes are needed.
• Ability to work within multiple software systems.
• Ability to adapt as the needs of the business change or evolve.
• Excellent verbal and written communication skills.
• Excellent interpersonal skills.

Required qualifications:

• 1 Year with Associate in Arts degree/diploma, or an equivalent combination of education/work experience
• Secure home office environment that ensures the protection of materials sensitive to HIPAA regulations.
• Must be willing to travel as needed (<5%).
• Minimum 2 years commercial insurance prior authorization experience.

Preferred qualifications:

• Pain management or spine specialty preferred.

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.