Prior Authorization Supervisor – ENT

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❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $64k - $96k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Medtronic

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1949

⚕️ Healthcare Insurance

Healthcare Insurance • Medical Devices

Medtronic is a global leader in healthcare technology solutions, working to address the most complex and challenging medical conditions. With over 95,000 employees in more than 150 countries, the company is focused on accelerating access to healthcare technologies and advancing inclusion, diversity, and equity in healthcare. Medtronic collaborates closely with healthcare professionals to innovate and optimize treatments and therapies, thus inspiring hope and new possibilities for patients worldwide. The company's commitment to healthcare extends to its focus on impactful solutions and sustainable practices.

📋 Description

• Represents the company to external and internal customers, answers product-related questions, and may connect customers to appropriate support or field staff. • Manages a team of prior authorization specialists and is responsible for the hiring and training of staff. • Leads, directs, and monitors the work of a remote team that is accustomed to independent work. • Conduct regular performance reviews and provide direct reports' feedback. • Develop training and education materials for internal stakeholders. • Authorizes hiring, firing, promotion, and reward within own area. • Ensure program and personal compliance with Medtronic Corporate Operating Policies and Code of Conduct, policies for data management, requirements for customer communication, collateral materials, and protected patient information. • Ensure availability to staff to provide support in resolving escalated healthcare provider and patient complaints. • Work with leadership to identify, track, and trend customer complaints and insurance issues, and identify proactive steps to prevent future issues. • Answer day-to-day work-related questions related to policies and procedures, systems and processes, assisting team members in problem-solving. • Provide back-up support to other teams as requested. • Identify ways and initiate processes that work towards improving service levels to both internal and external customers. • Assist with the development and approval of Standard Operating Procedures, Work Instructions, supporting and collateral materials, and monitor for adherence. • Perform in a fast-paced environment with frequent interruptions and/or distractions. • Onboard new HCP accounts, providing a warm welcome to the Medtronic PAS Program. • Recognize team and individual contributions to patients and the program. • May work other duties as assigned.

🎯 Requirements

• Requires a high school diploma (or equivalent) with 5 years of experience, or an Associate's degree with 3 years of experience, or a Baccalaureate degree and a minimum of 1 year of Customer Service Supervisory experience, or 3 years of Customer Service experience. • Experience: relevant customer service, patient access, or related experience in medical devices, medtech, healthcare, or life sciences. • Nice To Have: Master’s Degree • Experience working in or adjacent to the managed care and health insurance industry, especially in prior authorization services. • Customer-facing experience in either a call center or sales role. • Experience working with procedural and device coding and payment systems in the US market. • Experience reviewing commercial coverage policies and Medicare payment regulations.

🏖️ Benefits

• 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 • 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) • Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums)