Pune, IND
9 days ago
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. 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, 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 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 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:** + Bachelor’s 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, 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 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 here (http://www.medtronic.com) **Welcome to our new Careers Site!** **If you applied before July 22nd, please check your email for a notification from us providing you with instructions and a link to set up your new account and retain access to your current activity. If you do not see an email from us, please feel free to proceed with creating a new account.** We 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. **We change lives** . Each team member, each day, helps to improve and redefine how the world treats the most pressing health conditions, from heart disease to diabetes. Our industry leadership comes from the passion and ingenuity of our people. That’s who we are. Working alongside one another, we use science, medicine, and a profound understanding of the human body to build extraordinary technologies that can transform lives. **We build extraordinary solutions as one team** . With one Medtronic Mindset defining how we work. Speed and decisiveness run through our DNA. Diverse perspectives inspire our bold answers to any challenge that comes our way. And we deliver results the right way, breakthrough after patient breakthrough. **This life-changing career is yours to engineer** . By bringing your ambitious ideas, unique perspective and contributions, you will… + **Build** a better future, amplifying your impact on the causes that matter to you and the world + **Grow** a career reflective of your passion and abilities + **Connect** to a dynamic and inclusive culture that welcomes the challenge of life-long learning These commitments set our team apart from the rest: **Experiences that put people first** . Respect for people is the hallmark of our humanity. It fuels our team to positively impact even a single life. And it means we put our people first at Medtronic as well, creating a culture of belonging and always pushing to get you the career-building resources you need. **Life-transforming technologies** . No matter your role, you contribute to technologies that transform lives. What we build empowers patients to live life on their terms. **Better outcomes for our world** . Here, it’s about more than the bottom line. Our Mission to improve human welfare drives us. We advance healthcare, society, and equity with every design, inside and outside our walls. **Insight-driven care** . Fresh viewpoints. Cutting-edge AI, data, and automation. You're shaping the future of healthcare technology and defining the next generation of breakthroughs in care 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. For sales reps and other patient facing field employees, going into a healthcare setting is considered an essential function of the job and we expect our employees to comply with all credentialing requirements at the hospitals or clinics they support. 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 (https://www.e-verify.gov/employees) . For updates on job applications, please go to the candidate login page and sign in to check your application status. If you need assistance completing your application please email AskHR@medtronic.com To request removal of your personal information from our systems please email RS.HRCompliance@medtronic.com
Confirm your E-mail: Send Email