Pre-Authorization Specialist I
About The Position
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. About this role: The Pre-Authorization Specialist I is responsible for performing proficient benefit verification and pre-authorization functions with insurance carriers, within an established time frame, for new pre-surgical cases submitted to the Pre-Authorization Support Department. Work Mode At Boston Scientific, we value collaboration and synergy. This role follows a remote work model.
Requirements
- 1-2 years of direct pre-authorization experience.
- High School Diploma and/or Equivalent experience, training , or apprenticeships
Responsibilities
- Answers incoming calls received through the toll free Pre-Authorization Support ACD and provides appropriate call/case handling
- Performs benefit verification, pre-surgical authorization for new pre-surgical cases, and appeals by working closely with all payers
- Utilizes proficient knowledge in Microsoft Office and database management to document case status, actions, and outcome
- Communicates and builds relationships with HCP offices and sales representatives in regards to all inquiries for the handling of cases, i.e., missing case information, benefits etc.
- Notifies the appropriate internal departments based on receipt of information that department needs to be aware of including complaint handling/adverse event notifications
- Utilizes customer service skills in engaging with customers, communicating with sales representatives, and working in teams in a call center environment to expedite processing of cases
- Maintains current metric standards
- Provides competitive levels of support to the functions of the internal team, Health Care Professional offices, and BSC sales representatives
- Suggests continuous process improvements
- Coordinates with lead and supervisor with regard to complicated cases
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
