Insurance Collector
§ High School Diploma or GED
§ Minimum of 3 years billing and/or collections experience in a medical group, health care company, or hospital setting.
§ Experience with various insurance plans offered by both government and commercial insurances (PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs, etc) and coordination of healthcare benefits, including requirements for referral, authorization and pre-determination.
§ Experience with reading and understanding the information provided on EOBs, remittance advices, and other insurance correspondence, and in calculating patient responsibility taking into consideration coverage and benefits, including referral, authorization, and/or pre-determination requirements, and contract terms.
§ Experience with reviewing and analyzing insurance payments, and/or payor adjudication of claims against contract terms and patient coverage and benefits.
§ Experience with medical billing and collections terminology – CPT, HCPCS, and ICD-10 coding.
§ Experience with HIPAA guidelines and healthcare compliance.
§ Experience with MS Office suite (Word, Excel, Outlook), and internet and web site navigation.
Nice to Have
§ Good customer service skills with ability to interact with both internal and external customers, i.e. patients, insurance payors, doctors, internal departments and handle in a professional manner with customer-friendly focus and attention to detail in resolving issues.
§ Minimum 4 months of experience working in Medtronic PFS department
§ Proficiency in navigating multiple screens and programs at the same time in order to facilitate problem solving, and other activities that require multi-tasking.
§ Ability to maintain composure, and to follow instructions and protocols when dealing with unfamiliar or unusual payor / customer issues.
§ Demonstrated ability to present information in a clear, concise, and grammatically correct manner both verbally and in writing.
§ Demonstrated collaboration skills (including active listening skills, presentation skills) and proven ability to work effectively in a diverse, inclusive organization and environment.
§ Demonstrated ability to accept and carry out oral and written instructions accurately.
§ Demonstrated ability to prioritize work, handling daily and multiple tasks to completion within the time allotted, while working as part of a team within a demanding environment.
§ Ability to prepare forms, spreadsheets, and graphs.
§ Experience in a payor or medical provider community that deal with all aspects of the revenue cycle.
§ Experience in a large corporate (even matrixed) environment
§ Previous work experience with GE Centricity
About MedtronicTogether, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services 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 want to 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.
Physical Job Requirements
§ Ability to sit/stand/walk 8 hours per day
§ Ability to hear and speak clearly
§ Ability to sit for extended periods of time - up to six (6) hours at a time
§ Ability to work on a computer for extended periods of time – up to six (6) hours at a time
§ Ability to occasionally lift up to 10 lbs
§ Position is in a typical office environment
§ Ability to be flexible with working hours given adequate notice.
