Insulet Corporation

  • Intake Associate

    Job Locations US-UT-Salt Lake City | US-UT-Salt Lake City
    Posted Date 1 month ago(10/29/2019 8:40 AM)
    Category
    Customer Care / Customer Support
  • Position Summary

    • The primary responsibility of this role is to review and process clinical documentation promptly and accurately to ensure proper reimbursement from contracted payors. The Intake Associate will utilize this clinical documentation to perform benefit investigations as well as prior authorizations with our contracted payors. This role will work with all department functions and must have a thorough understanding of the reimbursement process, clinical guidelines and medical policies. 
    • The Intake Associate will perform tasks following standardized workflows as defined by management. This is an entry level position working closely with the management to learn the business processes and skills necessary in this function.

    Responsibilities

           Review and process all clinical documentation, ensuring accuracy and adherence to medical policies prior to authorization submission.

    • Process all aspects of reimbursement by contacting payors, verifying insurance benefits and adhering to medical guidelines for reimbursement.
    • Submission of all prior authorization requests for approval and payment of Insulet products at time of claim processing.
    • Calculate and document cost share amounts for potential customers.
    • Document all interactions into the customer database and maintain compliance to HIPAA and other regulating bodies as required.
    • Additional duties and projects as assigned by management.

    Education and Experience

    Education and Experience:

    Minimum Requirements:

    • Associates degree and 0 - 1 year experience working in a professional environment, preferably with extensive phone coverage and case management or reimbursement experience.

     

    Preferred Skills and Competencies:

    • Business knowledge: Individual health plan insurance knowledge and understanding of the managed care industry is preferred.
    • Effective written and oral communication skills
    • Strong attention to detail and follow up skills
    • Strong analytical and problem solving skills
    • Demonstrated initiative and “do what it takes work approach” to get the job done
    • Exceptional customer service orientation
    • Team player; ability to work cooperatively and collaboratively with others (internally and externally)
    • Flexible and resilient in work approach
    • Ability to work in a fast paced environment, managing multiple priorities

     

     

    Physical Requirements (if applicable):          

    • Requires sitting and standing associated with a normal office environment.
    • Manual dexterity needed for using a calculator and computer keyboard.
    • Lightweight lifting may be required
    • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

     

     

     

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