Patient Access Support Specialist

Medtronic

Base: $78,400.00 - $117,600.00; bonus/equity: elig...
Fully remote
Prior authorization and appeal management
Interface with commercial and government payers
Identify medical necessity requirements
Medtronic is seeking a fully remote Patient Access Support Specialist to assist with prior authorization and appeal management for a new technology in the Coronary Renal Denervation (CRDN) Operating Unit. The role involves interfacing with payers, providing education, and ensuring patient access through effective coverage and reimbursement processes

Job Summary

  • The Patient Access Support Specialist 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.
  • This position is remote to enhance our competitive edge and expand our cross-functional collaboration efforts.

Matching Summary

Match Score: 85

Medtronic is seeking a fully remote Patient Access Support Specialist to assist with prior authorization and appeal management for a new technology in the Coronary Renal Denervation (CRDN) Operating Unit. The role involves interfacing with payers, providing education, and ensuring patient access through effective coverage and reimbursement processes.

Salary

Base: $78,400.00 - $117,600.00; Bonus/Equity: Eligible for Medtronic Incentive Plan; Benefits: Health, Dental, Vision, HSA, FSA, Life Insurance, LTD, Dependent Daycare FSA, Tuition Assistance, Simple Steps, Incentive Plans, 401(k) with match, Short-term disability, PTO, Paid Holidays, ESPP, EAP, Non-qualified Retirement Plan Supplement, Capital Accumulation Plan

Skills & Requirements

Must-have

  • Prior authorization and appeal management
  • Interface with commercial and government payers
  • Identify medical necessity requirements
  • Submit for authorization
  • Provider education and support
  • Reporting on payer coverage decisions

Nice-to-have

  • Understanding of healthcare payment processes
  • Clinical nursing experience
  • Medtronic reimbursement policies
  • Adapt to different audiences
  • Relationship-building skills
  • Work in a matrixed organization

Key Requirements

  • Bachelor's degree
  • Minimum 2 years experience in case management, prior authorization or utilization review
  • 0 years experience with advanced degree
  • Less than 10% travel required
  • Possess unrestricted U.S. work authorization

Work Rights

Must possess unrestricted U.S. work authorization

Tailored Resume

Cover Letter