CUSTOMER CARE REP II

Additional Location(s):
N/A

Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance

At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we'll help you in advancing your skills and career. Here, you'll be supported in progressing - whatever your ambitions.

Shift Hours:
9:
00 AM - 6:
00 PM

About the Role:

Prior Authorization Specialist is a position within our Houston Based -Boston Scientific Cardiac Diagnostic revenue cycle team that works with insurance and patients regarding their cardiac diagnostic services claims.

Your responsibilities will include:

• Verifies patient insurance coverage timely utilizing phone or online resources.

• Ability to complete a high Volume of authorizations in timely matter via payer specific portals and vendors Image Ensures all pertinent medical documentation is accurate and present prior to authorization submission. Image Follows up with pending authorizations on a regular basis to obtain the status or to be informed of any action needed in order to obtain the authorization approval.

• Outstanding Phone communication skills.

• Participates in educational activities and attends regular staff and department meetings.

• Exhibit and manage excellent turn-around time in order to ensure timely authorizations.

• Consistently work in a positive and cooperative manner with fellow team members and management.

• Demonstrate flexibility to perform duties wherever volume deems it necessary.

• Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner.

• Document activities appropriately in process notes.

• Possess a strong work ethic and a commitment to improving patients' lives.

• Complies with all company and department policies and procedures.

• Enjoys problem-solving in a dynamic, fast paced, team based and rapidly changing environment.

Required qualifications

• 3-5 years of experience working in prior authorization, medical billing, health insurance or collections with demonstrated results.

• Good problem solving and decision-making skills.

• Excellent customer service and phone skills.

• Excellent time management, organizational, communication, multitasking and teamwork skills.

• Working knowledge of ICD-IO, CPT and HCPCS coding.

• Ability to successfully navigate between multiple systems throughout the course of the workday this includes but is not limited to billing software, and payer portals.

• Experience using Microsoft applications i.e. (Dynamics 360, Outlook, Teams and Xifin) preferred but not required.

Requisition ID:
592698

Among other requirements, Boston Scientific maintains specific prohibited substance testing requirements for safety-sensitive positions. This role is deemed safety-sensitive and, as such, candidates will be subject to a drug test as a pre-employment requirement. The goal of the drug testing is to increase workplace safety in compliance with the applicable law.

As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most - united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do - as a global business and as a global corporate citizen.

So, choosing a career with Boston Scientific (NYSE:
BSX) isn't just business, it's personal. And if you're a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!

At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve.

Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identify, gender expression, veteran's status, age, mental or physical disability, genetic information or any other protected class.

Boston Scientific maintains a prohibited substance free workplace. Pursuant to Va. Code 2.2-4312 (2000), Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company's policies or protocols change with regard to COVID-19 vaccination.

Nearest Major Market:
Houston

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