Team Lead Insurance Verification

At Medtronic you can begin a life-long career of exploration and innovation while helping champion healthcare access and equity for all Youll lead with purpose breaking down barriers to innovation in a more connected compassionate world A Day in the LifeCareers That Change LivesAs a key member of Patient Financial Services Team Lead you will have responsibility for supporting staff training efforts providing technical feedback on specific work items system usage and policies and procedures within the department and across the organization Assist in answering questions from team members regarding payor and patient billing and collection activities as well as resolve escalated customer complaints Additionally work in conjunction with Patient Financial Services Management team to identify unit priorities and realign staff and workflow as appropriate A Day in the LifeWere a mission-driven leader in medical technology and solutions with a legacy of integrity and innovation join our new Minimed India Hub as Team Lead 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 Executes on established department objectives and assignments which affect the immediate operation but that also have full revenue cycle and company-wide fiscal impact Monitor all staff worklists and unit email inboxes to ensure turnaround time aging and dollar thresholds for all unit worklists are being maintained to achieve established targets Maintain all team lead worklists at inflow escalating issues as appropriate to supervisor Work with management team to utilize various aging reconciliation credit and worklist reports to realign staff priorities to achieve unit goals Monitor staff productivity and perform weekly quality reviews identifying issues and providing training to improve statistics Participate with supervisor in QR delivery Ensuring that staff meets the productivity goal standard of 95 or higher while maintaining an average quality score of 2 80 or above Ensure availability to staff to provide support in resolving escalated payor inquiries and patient complaints within required timeframes Answers day-to-day work-related questions related to policies and procedures systems and processes assisting team members in problem solving Promoting enhanced quality and the reduction of unnecessary redundancies among staff Collaborating with unit Leadership and various departments within the revenue cycle to ensure the prompt resolution of escalations and customer disputes Engaging with staff and leadership on assigned projects as necessary Assisting in the training of new employees and developing training materials as needed Approving refunds and adjustments within a specified dollar threshold Required Knowledge and Experience Bachelors degree Business or Accounting major is preferred 8 years of experience insurance verification in a healthcare setting or in billing and or insurance collections Good to Have Experience leading a team or project and working as a subject matter expert 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 HRAs 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 RequirementsThe 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 CompensationMedtronic 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 MedtronicWe lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions Our Mission to alleviate pain restore health and extend life unites a global team of 90 000 passionate people We are engineers at heart putting ambitious ideas to work to generate real solutions for real people From the R D lab to the factory floor to the conference room every one of us experiments creates builds improves and solves We have the talent diverse perspectives and guts to engineer the extraordinary Learn more about our business mission and our commitment to diversity