Dear Candidate Job DescriptionAt Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You will lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. Role: Insurance Verification / Collection Location: Pune Viman Nagar (Night Shifts ) Experience: 0.8 to 3 Yrs. (No Opening for Freshers or Undergrads) CTC: 3 to 8 Key Skills US Healthcare - Mandatory Provider Side - Mandatory Excellent Comm Skill - Mandatory Blended Process or Voice Process - Mandatory Denial Management - Preferred Eligibility verification (EVBV) - Preferred Collection - Preferred AR Calling, RCM, Appeals ,Collection About Profile Its a blended process of Voice and Non Voice Demonstrated ability to prioritize work, handling daily and multiple tasks to completion within the time allotted. Ability to prepare forms, spreadsheets, and graphs. Experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to calculate estimated patient responsibility, taking into consideration pre-determination, referral, authorization, and contract terms. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Experience with medical billing and collections terminology CPT, HCPCS and ICD-9 coding. Experience with HIPAA guidelines and healthcare compliance. Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities. Proficiency in navigating multiple screens and MS Office Suite Nice to Have Demonstrated ability to prioritize work, managing daily and multiple tasks to completion within the time allotted Ability to prepare forms, spreadsheets, and graphs. Experience in a payor or medical provider community that deals with all aspects of the revenue cycle. Experience with reviewing and analyzing insurance payments, and/or payer adjudication claims against contract terms and patient coverage and benefits. Experience reading and understanding the information provided on EOBs, remittance advices, and other insurance correspondence, and in calculating patient responsibility taking into consideration coverage and benefits, including referral, authorization, and/or pre-determination requirements, and contract terms. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Experience with medical billing and collections terminology CPT, HCPCS and ICD-10 coding. Experience with HIPAA guidelines and healthcare compliance. Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities *Note Very Good to Excellent comm skill is Mandatory. -Payer experience, Please dont apply -Working in Backend or NON Voice please dont apply -Working in Voice Process or outbound calls are Preferred -Good to Excellect Comm Skill Required Recruitment Drive Details Date: 29th Mar 2025 (Saturday) Reporting Time: 11:00 AM to 2:00 PM Point of Contact: Shreya Sinha +91-9708168419 (WhatsApp Only) Important Notes: Carry 2 hard copies of your resume , a government ID proof. and Laptop if available Write " Shreya " at the top of your resume. Virtual interviews are available only for candidates outside Pune. Application Process: If interested, please send your updated resume to shreya.singh@medtronic.com or Whatsapp at 9708168419 Drive Link: https://forms.office.com/e/sQfbueBrLu Regards, Shreya Sinha Sourcing Specialist shreya.singh@medtronic.com
