Government Document Processor - San Antonio, TX at Medtronic in San Antonio, Texas

Job Description:

We anticipate the application window for this opening will close on - 22 Nov 2024

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

A Day in the Life
As a key member of the Patient Financial Services (PFS) team, the Government Doc Processor is responsible for all aspects of reviewing and validating customer and insurance documentation. This process is integral in securing insurance requirements to ensure all healthcare rules and regulations are followed, and a clean claim is submitted for reimbursement. The Doc Processor verifies the accuracy of documents (patient and payer related), recommends actions to resolve discrepancies, and investigates questionable data.
Careers that Change Lives

As a key member of the Patient Financial Services (PFS) team, responsible for all aspects of reviewing and validating customer and insurance documentation. The process is integral in securing insurance requirements to ensure all healthcare rules and regulations are followed, and a clean claim is submitted for reimbursement. Verifies the accuracy of documents (patient and payer related) as well as validating documentation of records. Enters data into computer systems using defined computer resources and programs. Recommends actions to resolve discrepancies; investigates questionable data. Communicates with internal teams and insurance payers. Executes on established departmental objectives and assignments which affect the immediate operation, as well as has a company-wide financial impact.

Career growth and development is about learning and stretching yourself to grow your expertise and navigate your career. Medtronic offers award-winning programs to accelerate your development and growth. Our size, scope and market leadership give you the chance to explore career opportunities -and grow as we grow.

A Day in the Life

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

• Analyzes credit information to establish customers' credit limits permitting highest profitable sales consistent with reasonably minimum losses.


• Counsels and negotiates with customers to improve financial controls, suggests sources of working capital, and sets up special credit arrangements and payment schedules.


• Plans credit restriction and collection tactics for risky, slow pay, and sensitive accounts.


• May collect outstanding receivables in accordance with terms and conditions of sale.


• Ensure that all documents required are in sync with the customer condition, products, and dates of service.


• Meets or exceeds key performance indicators measuring productivity, quality and service level as defined by Senior Management


• Initiate review of all required document(s), checking for data elements required on each form.


• Analyzes and problem solves next steps for invalid documents.


• Works with internal teams to return invalid and/or incomplete documents.


• Maintains service level agreements with internal team partners.


• Provides support to the internal sales teams.


• Understand and follow policy/contract requirements for all payer documents.

Qualifications

Must Have: Minimum Requirements

• Minimum of 2 years of relevant experience


• High School Diploma or equivalent required

• Experience with various insurance plans, and understanding of payer contract requirements, including medical necessity criteria, authorization guidelines and general documentation.


• Experience with reading and understanding the information provided on medical documents, including prescriptions and authorizations.


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


• Previous work experience with Athena IDX

Physical Job Requirements

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

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. For Office Roles: 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. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role.

Benefits & Compensation

Medtronic offers a competitive Salary and flexible Benefits Package
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.

Salary ranges for U.S (excl. PR) locations (USD):$38,000.00 - $57,000.00

This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).

U.S. Pay Transparency (for SIP, Commission, Hourly Direct, Interns, Executives)
This position is eligible for a short-term incentive plan. Learn more about Medtronic Incentive Plan (MIP) on page 6 here.

The provided base salary range is used nationally (except in certain CA locations). The rate offered is compliant with federal/local regulations and may vary by experience, certification/education, market conditions, location, etc.

Medtronic benefits and compensation plans

About Medtronic

We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 90,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.

Learn more about our business, mission, and our commitment to diversity here .

It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.