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Job Details

Order-Processors-DSS-Credit-Collections-Clerk-I

Company name
Medtronic, Inc.

Location
Northridge, CA

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Location:

Northridge

CA

Date:

10/06/2017

2017-10-06

2017-11-04

Job Code:

34435

Categories:

Accounting

Government

Healthcare

Retail / Wholesale

Medtronic

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Job Details

Job Details

Company

Medtronic

Job Title

Order Processors, DSS (Credit-Collections Clerk I)

JobId

34435

Location:

Northridge, CA, 91325, USA

Description

Order Processors, DSS (Credit-Collections Clerk I)

Location:

Northridge, California, United States

Requisition #:

17000FZJ

Post Date:

Sep 26, 2017

JOB DESCRIPTION

The Order Processing Associate enables system processing of patient orders. They are the primary contact for order fulfillment including processing and shipping customer orders, in accordance with customer requests and payor guidelines.

A DAY IN THE LIFE:

•Accurately completes and obtains all supporting documentation (clinical medical necessity form, letter of medical necessity, authorization, referrals, prescription, pre-determination, etc.) for processing to ensure reimbursement upon shipment

•Ensure all patient documents are on file as dictated by Payor, Medtronic and regulatory requirements to ensure reimbursement

•Adhere and deliver to all quality standards determined by the department

•Adhere and deliver to service levels established by business leaders and owners to ensure a positive customer experience

•Delivers to meet department productivity targets

•Process customer orders to completion in accordance with commitments to the patient

•Identify and respond to customer needs, problems, and initiate actions to ensure customer satisfaction

•Collaborate with internal stakeholders to assist with customer needs while ensuring reimbursement

•Ability and willingness to work flexible hours and varying daytime shifts, including overtime

•Other duties and special projects as assigned

MUST HAVE:

•High School Graduate or GED

•1 year working experience in a healthcare or hospital setting

•Experience with medical policy information, and utilizing insurance benefit and coverage information to estimate patient responsibility, taking into consideration pre-determination, referral, authorization, and contract terms.

•Experience with government and commercial insurances (i.e. PBM Plans, PPO, HMO, EPO, POS, Medicare, Medicaid, HRA’s) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination

•Experience with medical billing and collections terminology –(e.g. NDC, CPT, HCPCS and ICD-10 coding.)

•Experience with HIPAA guidelines and healthcare compliance.

•Experience receiving and making outbound calls to patients to explain order status and reimbursement requirements related to health insurance

•Experience using a computer with multiple software programs - specific experience using MS Office Suite (e.g. Word, Excel, Outlook).

NICE TO HAVE:

•Proven track record of effectively communicating (verbal and written) with all levels of customers (both internal and external) to improve customer relationships.

•Speaks clearly, concisely, and use proper grammar.

•Experience multi-tasking in a fast-paced environment and be able to work either independently or in a team orientated environment.

•Experience documenting calls by typing on a keyboard while speaking to a customer on the phone.

•Strong problem solving skills.

•Strong attention to detail.

•Intermediate level of math skill is required to assist customers with quantifying order size and frequency of orders

•Experience processing orders for Durable Medical Equipment and/or Pharmacy Benefits.

•Familiarity with insurance contracting, and documentation requirements.

•Proficient in 10-key pad by touch to accurately process various data with speed and accuracy

•Experience working with government and commercial insurances including HMO, PPO, POS, flex budget, and indemnity plans.

•IDX (GE Centricity Experience) in Billing and Accounts Receivable Module

•Experience maintaining organized files

•Experience presenting information in a clear, concise, and grammatically correct manner both verbally and in writing

•Experience in a payor or medical provider community that deal with all aspects of the revenue cycle

PHYSICAL JOB REQUIREMENTS:

•The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

•While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers.

•Able to lift up to 25 pounds

•Extended periods of time doing computer-based work

•Able to use headset and operate phone

•Ability and willingness to work flexible hours and varying daytime shifts, including overtime

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Company info

Medtronic, Inc.
Website : http://www.medtronic.com/

Company Profile
Medtronic, Inc. manufactures and sells device-based medical therapies worldwide. The company operates in two segments, Cardiac and Vascular Group, and Restorative Therapies Group. The Cardiac and Vascular Group’s products include pacemakers; implantable defibrillators; leads and delivery systems; ablation products; electrophysiology catheters; products for the treatment of atrial fibrillation; information systems for the management of patients with cardiac rhythm disease management (CRDM) devices; coronary and peripheral stents and related delivery systems; therapies for uncontrolled hypertension; endovascular stent graft systems; heart valve replacement technologies; cardiac tissue ablation systems; and open heart and coronary bypass grafting surgical products. The Restorative Therapies Group offers products for various areas of the spine; bone graft substitutes; biologic products; trauma, implantable neurostimulation therapies, and drug delivery devices for the treatment of chronic pain, movement disorders, obsessive-compulsive disorder (OCD), overactive bladder, urinary retention, and fecal incontinence and gastroparesis; external insulin pumps; subcutaneous CGM systems; products to treat conditions of the ear, nose, and throat; and devices that incorporate advanced energy technology. It also manufactures and sells image-guided surgery and intra-operative imaging systems; and provides Web-based therapy management software solutions. The company serves hospitals, physicians, clinicians, and patients in approximately 140 countries. Medtronic, Inc. was founded in 1949 and is headquartered in Minneapolis, Minnesota.

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