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Boston Scientific · 4 hours ago

Pre-Authorization Specialist I

United States

Full-time

Remote

Entry Level

$37K/yr - $63K/yr

1+ years exp

Boston Scientific is a leader in medical science committed to solving health industry challenges. The Pre-Authorization Specialist I is responsible for performing benefit verification and pre-authorization functions with insurance carriers for new pre-surgical cases submitted to the Pre-Authorization Support Department.

Health CareMedicalMedical Device

No H1B

Responsibilities

Answers incoming calls received through the toll free Pre-Authorization Support ACD and provides appropriate call/case handling

Performs benefit verification, pre-surgical authorization for new pre-surgical cases, and appeals by working closely with all payers

Utilizes proficient knowledge in Microsoft Office and database management to document case status, actions, and outcome

Communicates and builds relationships with HCP offices and sales representatives in regards to all inquiries for the handling of cases, i.e., missing case information, benefits etc

Notifies the appropriate internal departments based on receipt of information that department needs to be aware of including complaint handling/adverse event notifications

Utilizes customer service skills in engaging with customers, communicating with sales representatives, and working in teams in a call center environment to expedite processing of cases

Maintains current metric standards

Provides competitive levels of support to the functions of the internal team, Health Care Professional offices, and BSC sales representatives

Suggests continuous process improvements

Coordinates with lead and supervisor with regard to complicated cases

Qualification

Pre-authorization experienceBenefit verificationMicrosoft OfficeDatabase managementCustomer service skills

Required

1-2 years of direct pre-authorization experience

High School Diploma and/or

Equivalent experience, training, or apprenticeships

Company

Boston Scientific

Glassdoor4.2

Boston Scientific is a medical technology company that designs and develops medical devices to diagnose and treat a wide range of condition.

Founded in 1979

Marlborough, Massachusetts, USA

10001+ employees

http://www.bostonscientific.com

Funding

Current Stage

Public Company

Total Funding

$10.02B

2025-02-21Post Ipo Debt· $1.58B

2024-02-22Post Ipo Debt· $2.17B

2022-03-04Post Ipo Debt· $3.28B

Leadership Team

Michael Mahoney

Chairman, President & CEO

Daniel J. Brennan

Chief Financial Officer

Recent News

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