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2018-02-152018-03-17

Insurance Authorization Team Lead, Global Financial Services

Medtronic
Northridge, CA
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  • Job Code
    33266
Company Medtronic
Job Title Insurance Authorization Team Lead, Global Financial Services
JobId 33266
Location: Northridge, CA, 91325, USA

Description
Insurance Authorization Team Lead, Global Financial Services

Location:

Northridge, California, United States

Requisition #:

17000G0K

Post Date:

Aug 30, 2017

The Global Financial Services (GFS) Team Lead is responsible for supporting GFS Supervisor and GFS management team They are also responsible 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. The Team Lead will answer questions from team members regarding payor authorization and insurance verification activities, resolves escalated customer complaints and works in conjunction with management team to identify unit priorities and realign staff and workflow as appropriate.

**Position Responsibilities:**

•Initiates follow-up activities regarding open authorizations, makes written and verbal inquiries to payors. Analyzes and problem solves account issues to full resolution.

•Monitor all staff worklists and unit email inboxes to ensure turnaround time for all worklists are being maintained to achieve established targets

•Maintain team lead worklists at inflow, escalating issues as appropriate to supervisor

•Monitor staff productivity and perform weekly quality reviews, identifying issues, and providing training to improve statistics. Participate with supervisor in QR delivery

•Ensure availability to staff to provide support in resolving escalated customer, 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. Work as a part of a team within a demanding environment.

•Contribute to continuous improvement initiatives that drive operational excellence

**Basic Qualifications:**

**IN ORDER TO BE CONSIDERED FOR THIS POSITION, THE FOLLOWING BASIC QUALIFICATIONS MUST BE EVIDENT ON YOUR RESUME**

• High School Diploma or GED

•6+ years of experience in authorization, insurance verification, billing/collections in a medical group, health care company or hospital setting.

•2+ years of experience leading a team or project.

•Experience with various insurance plans offered by both government and commercial insurances (i.e. PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs, etc.) and coordination of healthcare benefits, including requirements for referral, authorization, and/or pre-determination.

**Desired/Preferred Qualifications:**

•Experience with reading and understanding the information provided in EOBs, remittance advices, and other payor correspondence. Knowledge of coverage and benefits, including referral, authorization, and/or pre-determination requirements, and contract terms.

•Experience with medical billing and collections and terminology – CPT, HCPCS, and ICD10, ICD-9 coding.

•Experience with HIPAA guidelines and healthcare compliance.

•Excellent interpersonal skills to communicate effectively and diplomatically with internal and external customers both in person and over the telephone.

•Experience with reviewing and analyzing insurance payments, and/or payor adjudication of claims against contract terms and patient coverage and benefits.

•Experience providing support or leading staff working on special projects, particularly as it relates to insurance authorizations and insurance verifications.

•Experience in a large corporate environment.

•Previous experience on Advanced MD.

**Physical Job Requirements:**

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

•While performing the duties of this job, the employee is regularly required to be independently mobile.

•The employee is also required to interact with a computer, and communicate with peers and co-workers.

•Other examples: Able to lift 25 pounds, Able to view items through microscope, Extended periods of time doing computer-based work

** **

**ABOUT MEDTRONIC**

Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.

We can accelerate and advance our ability to create meaningful innovations – but we will only succeed with the right people on our team. Let’s work together to address universal healthcare needs and improve patients’ lives. Help us shape the future.

**EEO STATEMENT**

It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.

This employer participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

**DISCLAIMER**

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.

Categories

  • Financial Services
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Insurance Authorization Team Lead, Global Financial Services

Medtronic
Northridge, CA

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Medtronic
Northridge, CA

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