Revenue Cycle Lead – Insurance A/R at Medtronic

Pune, Maharashtra, India

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical DevicesIndustries

Requirements

Bachelor’s degree in Business or Accounting major is preferred
15+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts
10+ years of experience leading large US Healthcare accounts receivable portfolio ($1BN plus)
Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations
Advanced experience with reading and understanding medical policy information, and utilizing insurance benefit and coverage information to recover denied claims
Advanced experience with various insurance plans offered by both government and commercial insurances
Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance
Good operating knowledge of Microsoft programs, including Word, Excel, Visio, Power Point, and Teams
Ability to use Excel to generate reports, use of pivot tables and other features to analyze and present data

Responsibilities

Operational management of multiple processes within Patient Financial Services, Diabetes
Support the Director in conducting end-to-end business analysis and review of production, revenue, and cash to enhance strategies and deliver revenue targets
Interacting and collaborating with various departments
Leading the analysis of payer issue trends, researching, and resolving payer issues
Overseeing system updates and data analytics
Develop and execute strategic work plans and directives
Driving initiatives to increase productivity, revenue, and cash flow while reducing PFS operational costs
Manage assigned processes
Lead weekly / monthly process reviews with sr. leadership
Other duties may be assigned

Skills

Key technologies and capabilities for this role

Revenue Cycle ManagementInsurance A/RBusiness AnalysisOperational ManagementPatient Financial ServicesRevenue TargetsCash Management

Questions & Answers

Common questions about this position

What is the employment type for this Revenue Cycle Lead position?

This is a full-time position.

Is this Revenue Cycle Lead role remote or office-based?

This information is not specified in the job description.

What key skills are required for the Revenue Cycle Lead role?

The role requires advanced knowledge of insurance contracting, payer regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance. It also demands advanced experience with medical policy information, insurance benefit and coverage details for claim recovery, various government and commercial insurance plans, and medical billing terminology including CPT, HCPCS, ICD-10, NDC coding, and HIPAA guidelines.

What is the company culture like at Medtronic for this role?

Medtronic emphasizes a culture of exploration, innovation, leading with purpose, and championing healthcare access and equity in a connected, compassionate world. The Diabetes Operating Unit focuses on empowering people with diabetes through innovative solutions for better health and freedom.

What makes a strong candidate for the Revenue Cycle Lead position?

Strong candidates will have advanced experience in insurance contracting, payer regulations, medical billing terminology like CPT, HCPCS, ICD-10, and HIPAA, along with skills in analyzing payer issues, resolving denials, and driving revenue cycle improvements.

Medtronic

Develops and manufactures medical devices and therapies

About Medtronic

Medtronic provides medical technology, services, and solutions to improve patient care. The company develops a variety of medical devices, including pacemakers, insulin pumps, surgical tools, and neurostimulation devices, which help diagnose, prevent, and treat chronic diseases. These products are used by hospitals, clinics, and healthcare professionals around the world. Medtronic stands out from competitors by investing significantly in research and development to create new products and offering additional services like training and patient management programs. The goal of Medtronic is to enhance patient outcomes and lower healthcare costs through its comprehensive range of medical solutions.

Fridley, MinnesotaHeadquarters

1949Year Founded

$3.2MTotal Funding

IPOCompany Stage

Biotechnology, HealthcareIndustries

10,001+Employees