Insurance Verification / Reimbursement Specialist

Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in advanced wound care, ostomy care, continence and critical care, and infusion care. With around 10,000 colleagues, and a promise to be forever caring, our products and services are available in over 100 countries. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. The company is a constituent of the FTSE 100 Index and in 2021 revenues were over $2 billion. To learn more about Convatec, please visit http://www.convatecgroup.com

Our search for better is changing the lives of our customers. It’s changing the careers of our people too – creating new challenges and opportunities all the time. We’re a business that never stands still. Join us as an Insurance Verification & Reimbursement Specialist and you won’t either.

Essential Duties and Responsibilities:

• Responsible for insurance verification and authorization process
• Timely processing of eligibility and benefit verification
• Accurate entry of information
• Customer and sales representative education related to insurance verifications and basic coding and billing for Convatec Advanced Tissue Technologies (ATT) products
• Accurately analyzes medical policy information and payer changes and reports updates and trends as appropriate
• Does research on customer and representative reimbursement inquiries
• Maintain and follow policies and procedures
• Maintain efficient tracking and follow-up of pending authorizations to ensure timely resolution
• Perform routine review of outstanding requests
• Maintain confidentiality and privacy of patient information
• Respond to inquiries from insurance companies and providers.
• Serve as point of contact for insurance related questions

Requirements of Qualified Candidate:

• High School Diploma Required
• Bachelor’s degree preferred
• Between 3-5 years of medical insurance verification or billing experience preferred
• Understanding and experience with insurance verification process and associated terminology
• Ability to interpret medical policies
• Customer facing experience
• High energy
• Superb communication skills
• Medical billing / coding certifications preferred
• Previous experience including working knowledge of revenue cycle, medical terminology, and insurance claim filing experience
• Ability to resolve issues quickly and efficiently
• Strong organizational skills and an attention to detail
• Strong knowledge and experience with Microsoft Word, PowerPoint, and Excel

Our progress will give you countless opportunities to move forward too. Seek out new challenges, and you’ll find them. Stretch your thinking, and you’ll find new ways to make an impact. And if you embrace the opportunity to drive your own growth, you could go further, and achieve more, than ever before.

This is a big step forward.

This is work that’ll move you.

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Beware of scams online or from individuals claiming to represent Convatec

A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.

If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you’re unsure, please contact us at careers@Convatec.com.

Equal opportunities

Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.

Notice to Agency and Search Firm Representatives

Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.

Already a Convatec employee?

If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!