Revenue Cycle Lead Insurance

Role & responsibilities

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. Youll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.

A Day in the Life

Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as a Revenue Cycle Lead for Patient Financial Services, India, this role is responsible for operational management of the multiple processes within Patient Financial Services, Diabetes. This position will support the Director at conducting end-to-end business analysis and review of production, revenue, and cash to enhance strategies and deliver revenue targets. The Diabetes Operating Unitfocuses on improving the lives of those within the global diabetes community.As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease. This position is an exciting opportunity to work with Medtronic's Diabetes business. Medtronic has announced its intention to separate the Diabetes division to promote future growth and innovation within the business and reallocate investments and resources across Medtronic, subject to applicable information and consultation requirements. This separation provides our team with a bold opportunity to unleash our potential, enabling us to operate with greater speed and agility. As a separate entity, we anticipate leveraging increased investments to drive meaningful innovation and enhance our impact on patient care.

Responsibilities may include the following and other duties may be assigned:

As a Revenue Cycle Lead for Patient Financial Services, the role involves interacting and collaborating with various departments, leading the analysis of payer issue trends, researching, and resolving payer issues, and overseeing system updates and data analytics. The individual will develop and execute strategic work plans and directives, driving initiatives to increase productivity, revenue, and cash flow while reducing PFS operational costs. Manage assigned processes, lead weekly / monthly process reviews with sr. leadership

• Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations.
• Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims.
• Advanced experience with various insurance plans offered by both government and commercial insurances.
• Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.

Preferred candidate profile

• Bachelor’s degree in Business or Accounting major is preferred.
• 15+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts.
• 10+ years of experience leading large US Healthcare accounts receivable portfolio ($1BN plus).
• Good operating knowledge of Microsoft programs, including Word, Excel, Visio, Power Point, and Teams.
• Ability to use Excel to generate reports, use of pivot tables and other features to analyze and present data