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Order Processors, DSS (Credit-Collections Clerk II)


Northridge, CA
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Job Details

Company Medtronic
Job Title Order Processors, DSS (Credit-Collections Clerk II)
JobId 35136
Location: Northridge, CA, 91325, USA

Order Processors, DSS (Credit-Collections Clerk II)


Northridge, California, United States

Requisition #:


Post Date:

Oct 13, 2017

**Position Description:**

The Order Processing Associate enables system processing of patient orders. They are the primary contact for order fulfillment including processing and shipping customer orders, in accordance with customer requests and payor guidelines.

**Position Responsibilities:**

•Accurately completes and obtains all supporting documentation (clinical medical necessity form, letter of medical necessity, authorization, referrals, prescription, pre-determination, etc.) for processing to ensure reimbursement upon shipment

•Ensure all patient documents are on file as dictated by Payor, Medtronic and regulatory requirements to ensure reimbursement

•Adhere and deliver to all quality standards determined by the department

•Adhere and deliver to service levels established by business leaders and owners to ensure a positive customer experience

•Delivers to meet department productivity targets

•Process customer orders to completion in accordance with commitments to the patient

•Identify and respond to customer needs, problems, and initiate actions to ensure customer satisfaction

•Collaborate with internal stakeholders to assist with customer needs while ensuring reimbursement

•Ability and willingness to work flexible hours and varying daytime shifts, including overtime

•Other duties and special projects as assigned

• Ability and willingness to work flexible hours and varying daytime shifts, including overtime


• High School 2+ years work experience working in a healthcare or hospital setting


•Associate Degree and 1+ years work experience working in a healthcare or hospital setting


•Bachelor's degree and 0+ years work experience working in a healthcare or hospital setting

• Experience with medical policy information, and utilizing insurance benefit and coverage information to estimate patient responsibility, taking into consideration pre-determination, referral, authorization, and contract terms.

• Experience with government and commercial insurances (i.e. PBM Plans, PPO, HMO, EPO, POS, Medicare, Medicaid,

HRA’s) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination

• Experience with medical billing and collections terminology –(e.g. NDC, CPT, HCPCS and ICD-10 coding.)

• Experience with HIPAA guidelines and healthcare compliance.

• Experience receiving and making outbound calls to patients to explain order status and reimbursement requirements related to health insurance

• Experience using a computer with multiple software programs - specific experience using MS Office Suite (e.g. Word, Excel, Outlook).


• Proven track record of effectively communicating (verbal and written) with all levels of customers (both internal and

external) to improve customer relationships.

• Speaks clearly, concisely, and use proper grammar.

• Experience multi-tasking in a fast-paced environment and be able to work either independently or in a team orientated


• Experience documenting calls by typing on a keyboard while speaking to a customer on the phone.

• Strong problem solving skills.

• Strong attention to detail.

• Intermediate level of math skill is required to assist customers with quantifying order size and frequency of orders

• Experience processing orders for Durable Medical Equipment and/or Pharmacy Benefits.

• Familiarity with insurance contracting, and documentation requirements.

• Proficient in 10-key pad by touch to accurately process various data with speed and accuracy

• Experience working with government and commercial insurances including HMO, PPO, POS, flex budget, and indemnity


• IDX (GE Centricity Experience) in Billing and Accounts Receivable Module

• Experience maintaining organized files

• Experience presenting information in a clear, concise, and grammatically correct manner both verbally and in writing

• Experience in a payor or medical provider community that deal with all aspects of the revenue cycle


• 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.

• 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.

• Able to lift up to 25 pounds

• Extended periods of time doing computer-based work

• Able to use headset and operate phone

• Ability and willingness to work flexible hours and varying daytime shifts, including overtime

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