Patient Access Support Specialist - CRDN
Medtronic
We anticipate the application window for this opening will close on - 26 Feb 2025
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**
The **Patient Access Support Specialist** for the Coronary Renal Denervation (CRDN) Operating Unit (OU) is responsible for supporting patient access to a new technology by assisting physicians, hospitals, and patients with prior authorization and appeal management. This position will interface with commercial and government payers to ensure patient insurance eligibility and benefits, identify medical necessity requirements for prior approval, and submit for authorization. Ongoing provider education and support is a key part of this role to optimize coverage and reimbursement. This position will also assist in keeping other members of the CRDN Reimbursement team informed on issues and trends in payer coverage decisions. All work will be done within approved guidelines, policies and procedures and will most often be delivered telephonically.
**Responsibilities:**
+ Assist physicians, hospitals, and patients in understanding details of coverage polices, prior authorization, and denial management for renal denervation.
+ Validate patient’s insurance coverage and benefits.
+ Check the requirements for prior authorization and initiate as requested by customer.
+ Coordinate required paperwork and clinical notes for submission in a timely and comprehensive manner as required.
+ Follow up frequently with payers to ensure visibility on authorization status throughout the process.
+ Relay information and provide timely updates to internal and external stakeholders.
+ Upon request, write persuasive appeal letters to address payer objections using provider documentation to support medical necessity. Submit appeals in accordance with payer processes and timelines.
+ Work within the guidelines, policies and procedures using clinical background, knowledge, and skills.
+ Stay up to date and informed on commercial and government payer coverage and prior authorization requirements.
+ Create and maintain accurate reporting of payer processes, coverage decisions, issues, and trends.
+ Collaborate on the development of relevant materials for physicians, hospitals, and patients.
+ Other duties may be assigned as needed.
**Very strong preference to have candidates working hybrid from Mounds View, MN. Could consider remote from the U.S. for the right candidate.**
**Must Have; Minimum Requirements**
**Bachelor's degree**
+ Minimum of 2 year's experience in case management, prior authorization or utilization review
+ Or 0 year's experience in case management, prior authorization or utilization review with an advanced degree
**Nice To Have**
+ Understanding of healthcare payment processes, reimbursement and coverage issues including medical necessity, denials, and appeals processes.
+ Clinical nursing experience preferred
+ Familiar with Medtronic reimbursement policies and procedures.
+ Excellent written and verbal communication skills and ability to adapt to different audiences
+ Exceptional customer service and problem-solving skills with the ability to manage multiple customer requests
+ Outstanding organizational skills, including documentation, multi-tasking and prioritizing
+ Ability to learn and use multiple CRM software programs as needed
+ Knowledge of medical terminology and medical conditions
+ Proven relationship-building skills with internal and external stakeholders including physicians, hospital administrators or payers)
+ Demonstrated ability to work, collaborate, and influence in a highly matrixed organization
+ Proficient with Microsoft Office (Outlook, Word, Excel & PowerPoint)
+ High degree of initiative and self-motivation and the ability to direct and motivate others
+ Ability to work effectively in a team environment and build strong working relationships
+ Travel requirement is less than 10%
**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.
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. For Office Roles: 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. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role.
**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.
Salary ranges for U.S (excl. PR) locations (USD):$74,400.00 - $111,600.00
This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).
The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others).
The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).
The following benefits and additional compensation are available to all regular employees: Incentive plans, 401(k) plan plus employer contribution and match, Short-term disability, Paid time off, Paid holidays, Employee Stock Purchase Plan, Employee Assistance Program, Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).
Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico.
Further details are available at the link below:
Medtronic benefits and compensation plans (https://www3.benefitsolver.com/benefits/BenefitSolverView?page\_name=signon&co\_num=30601&co\_affid=medtronic)
**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) .
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.
If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here (https://www.medtronic.com/content/dam/medtronic-wide/public/united-states/employee-support-services/careers/la-county-legal-notice.pdf) a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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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) .
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