Posted: Monday, March 13, 2017 5:26 PM
Boston Scientific Neuromodulation is currently seeking an exceptional Pre:Authorization Specialist I to join our winning team in Valencia, CA.
Why join Boston Scientific Neuromodulation in California?
We integrate all global operations at our worldwide headquarters in Valencia, California, close to Los Angeles, close to the beach, close to the mountains, close to the desert. All the advantages of Southern California and more affordable than many other areas nearby. Looking for onsite amenities? Check out our on:campus Bistro, Credit Union, private gym, and Toastmasters club. Take advantage of the 360 days of sunshine a year on our basketball and volleyball courts. Join our softball and soccer teams. We even have cricket and dragon boat racing teams We also offer numerous volunteer activities and events in the wonderful communities of Valencia and Santa Clarita. If you like to work hard and play hard, youll fit right in. And youll be well rewarded. Our salaries are competitive. Our benefits package is generous. And our 401K program? Forbes ranks it one of the top 10 in the country
What makes Boston Scientific Neuromodulation so special?
Weve seen the difference that neuromodulation technologies, such as spinal cord stimulation and deep brain stimulation, can make. These breakthrough platforms have helped more than 400,000 people worldwide over the past four decades. But there is still enormous potential to help even more people. As a worldwide leader in neurological devices, we strive to improve every life we touch through our dedication to innovation, our commitment to people, and our passion for performance.
The Pre:Authorization Specialist I is responsible for performing the initial benefit verification and pre:authorization functions with insurance carriers, within an established time frame, for new pre:surgical cases submitted to the Pre:Authorization Support Department. The Pre:Authorization Specialist I is responsible for providing competitive levels of support to the internal team, Health Care Professional offices, and BSC sales representatives. They are also responsible for answering incoming calls received through the Reimbursement Services Department ACD line.
Duties and Responsibilities
: Answers incoming calls received through the toll free Pre:Authorization Support ACD and provide appropriate call/case handling.
: Performs initial benefit verification and pre:surgical authorization for new pre:surgical cases by working closely with all payers
: Documents case status, actions, and outcome in the Pre:Authorization Support contact management database utilizing who, what, where, when, how
: Communicates and builds relationships with HCP offices and sales representatives in regards to all inquiries for the handling of cases, i.e., missing case information, benefits etc.
: Responsible for notifying the appropriate internal departments based on receipt of information that department needs to be aware of including complaint handling/ adverse event notifications
: Utilizes customer service skills in engaging with customers, communications with Sales representatives, and working in teams in a call center environment to expedite processing of cases.
: Previous experience in Insurance Reimbursement, Customer Service, or Medical device industry is required
: Must be able to understand the complexities of the Insurance Reimbursement work flow and related processes. .
: Must have basic understanding of Medicare, Medicaid, Private Payer, and Workers compensation coding, coverage, and payment as it relates to medical procedures, services, and devices
: Must possess strong computer skills and have working knowledge of Microsoft outlook, Microsoft Word and Excel. Must be able t
• Location: San Fernando Valley
• Post ID: 103878713 sanfernandovalley