We anticipate the application window for this opening will close on - 18 Jul 2025

 

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

The Prior Authorization Level III manages casework throughout assigned regions. Is the first point of contact for all account questions, escalations, and urgent requests, and guides difficult cases. Ability to assist with submissions as the need arises.

At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. This position is remote to enhance our competitive edge and expand our cross-functional collaboration efforts. This role will require some travel to enhance collaboration and ensure the successful completion of projects.

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

• ICD9 and CPT code familiarity, expert knowledge on a subset of Medtronic therapy codes
• knowledge of the payer payment process, with detailed knowledge of the payer's prior authorization process and compliance considerations
• Solid leadership skills with the ability to drive scheduling using data to ensure optimal coverage and response times.
• Superior customer service skills with outstanding communication skills to use with various stakeholders, physicians, sales representatives, payer representatives, utilization reviewers, and various internal and external stakeholders.
• Good organizational skills with the ability to handle multiple inquiries at the same time, and critical problem-solving skills with high attention to detail.
• Advanced Microsoft Excel skills. Ability to learn and use multiple CRM software programs as needed.

Must be able to:

• Validates the patient’s insurance coverage and communicates any issues with benefits or coverage to the appropriate managers.
• Checks the requirements for prior authorization and initiates as required.
• Coordinates required paperwork, clinical notes, and forms for submission to support requests and initiates as required.
• Follows up frequently to ensure visibility on authorization status throughout the approval process.
• Relays information and provides timely updates to accounts.

Required Knowledge and Experience: 
Requires a minimum of 2 years of relevant experience.

Nice to Have:

• AAPC Certification
• College Degree
• Customer Service Experience
• Sales Force Super User

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):$40,000.00 - $60,000.00

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

The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefi