Insurance Verification Clerk

3 months ago

Pune Maharashtra, India Medtronic Full time

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.

A Day in the Life

Careers That Change Lives

As a key member of Patient Financial Services, the Insurance Verification team is responsible for all aspects of insurance eligibility, and benefit verification, including customer service, with the objective of minimizing controllable denials and maximizing the clean claim rate.

The Insurance Verification role follows prescribed policies and procedures, performs a variety of verification tasks using standard healthcare guidelines. Obtains insurance coverage information from patient, and payor, utilizing all available tools, including medical documentation, and contract information to select the appropriate insurance policy/plan. Obtaining accurate benefit information to identify patient financial liability.

A Day in the Life

We’re a mission-driven leader in medical technology and solutions with a legacy of integrity and innovation, join our new Minimed India Hub as Supervisor
- Customer Services. We are working to improve how healthcare addresses the needs of more people, in more ways and in more places around the world. As a company, we can accelerate and advance our ability to create meaningful innovations - but we will only succeed with the right people in our teams. This is the ideal opportunity to join us and be part of our commitment to the health of others. Whatever your specialty or ambition is, you can make a difference at Medtronic - both in the lives of others and in your career.

Responsibilities may include the following and other duties may be assigned:
- Provides eligibility and insurance verification support to product sales teams by working assigned tasks within service level agreements.- Utilizes the system, and/or contact the patient to obtain basic policy, plan and group numbers for all insurance carriers on the patient’s account to confirm eligibility.- Interact with insurance carriers/patients/websites to conduct comprehensive insurance benefit verifications for all insurance carriers with confirmed eligibility on the patient’s account.- Document insurance eligibility and benefits within the customer account to ensure accurate and timely billing for current and future customer orders.- Collaborate with internal and external customers to assist our patients with questions on obtaining Medtronic products, therapy, troubleshooting, health insurance coverage concerns, transferring patients to the appropriate department as needed.- Enters data into computer systems using defined resources and programs, and investigates questionable data, and recommends actions to resolve discrepancies.

Required Knowledge and Experience:
- Bachelor’s degreeBusiness or Accounting major is preferred.- 4 to 6 years of insurance collections experience (Level 4 - 6 years) in a US healthcare environment.

Good to Have:
- Demonstrated ability to prioritize work, handling daily and multiple tasks to completion within the time allotted.- Ability to prepare forms, spreadsheets, and graphs.- Experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to calculate estimated patient responsibility, taking into consideration pre-determination, referral, authorization, and contract terms.- Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA’s) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.- Experience with medical billing and collections terminology - CPT, HCPCS and ICD-9 coding.- Experience with HIPAA guidelines and healthcare compliance.- Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities.- Proficiency in navigating multiple screens and MS Office Suite.

Physical Job Requirements

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

Benefits & Compensation

Medtronic offers a competitive Salary and flexible Benefits Package
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.

This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).

About Medtronic

We lead global healthcare technology and boldly attack the most chall

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