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Patient Access Case Manager at Boston Scientific Corporation Malaysia

Santa Clarita, California, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Feb, 26

Salary

0.0

Posted On

06 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorization, Clinical Records Review, Medical Necessity, Procedure Denials Interpretation, Appeals Drafting, Payer Coverage Criteria, Software Systems Utilization, Neuromodulation Experience, Communication Skills, Written Communication, Verbal Communication, EMR, Payer Portals, Microsoft Office, Salesforce

Industry

Medical Equipment Manufacturing

Description

2+ years of experience in a pain management or spine prior authorization role. Reviewing clinical records and extracting key information to support medical necessity Submitting prior authorization requests for medical procedures Interpreting procedure denials and drafting appeals Understanding and leveraging payer coverage criteria to ensure positive outcomes 2+ years of experience utilizing software systems to perform tasks Travel < 5% 40-hour work week Ability to sit/stand at a workstation 8 hours per day High school diploma Neuromodulation/Basivertebral nerve ablation experience Ability to communicate clearly and assertively with payers Strong written and verbal communication skills Software experience, i.e. EMR, payer portals, Microsoft Office, Salesforce

Responsibilities

The Patient Access Case Manager will review clinical records and extract key information to support medical necessity. They will also submit prior authorization requests for medical procedures and interpret procedure denials while drafting appeals.