Patient Benefit Quote Specialist II

Additional Location(s):  N/A

Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance

At Boston Scientific, we’ll give you the opportunity to harness all that’s within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we’ll help you in advancing your skills and career. Here, you’ll be supported in progressing – whatever your ambitions.           

1st Shift: 9:00 am - 5:30 pm

About the role:
The Patient Benefit Specialist is a position within our Houston Based -Boston Scientific Cardiac Diagnostic revenue cycle team that works with insurance and patients regarding their cardiac diagnostic services claims. 

As the Patient Benefits Specialist your responsibilities include providing patients with benefit and cost estimation of services as ordered by their provider. This position requires both Insurance Research and Patient Customer Service that will provide patients with accurate information regarding their insurance benefits, financial assistance availability and estimation of patient cost while providing excellent customer service and positive patient experience.  
 

Your responsibilities will include:

• Responsible for identification of copay and deductibles, communicating patient financial responsibility to patient prior to date of service, and collection of such patient responsibility prior to service.
• Obtains insurance verification and benefits using an automated verification tool, insurance carrier websites, or by phone.
• Prepares an estimate for scheduled service and notifies the patient/guarantor of any applicable out of pocket and requests payment if applicable.
• Accurately documents all information in the appropriate fields and or/account notes.
• Organizes, prioritizes, and reviews daily work activity to ensure completion of assigned workload.
• Courteously answers telephone and/or emails and answers all questions in a timely manner.
• Maintains a positive working relationship with patients/guarantors, insurance companies, clinical personnel, co-workers, and management to promote teamwork and cooperation.
• Outbound/Inbound phone calls with patients to verify shipping address.
• Release orders for shipment once all prerequisites are met.
• Add all special request notes to patient orders.
• Send study cancellation notifications.
• Other duties as assigned.
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Outstanding Phone communication skills.
• Participates in educational activities and attends regular staff and department meetings.
• Consistently work in a positive and cooperative manner with fellow team members and management.
• Demonstrate flexibility to perform duties wherever volume deems it necessary.
• Document activities appropriately in process notes.
• Possess a strong work ethic and a commitment to improving patients’ lives.
• Complies with all company and department policies and procedures.
• Enjoys problem-solving in a dynamic, fast paced, team based and rapidly changing environment.

Required qualifications:

• 1 year of experience with an Associate degree or an equivalent combination of education/work experience

Preferred qualifications:

• 1-2 years of experience in providing healthcare insurance verification and quoting.
• Knowledge of insurance principles and regulations.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Strong attention to detail and accuracy.
• Proficient in Microsoft Office and other relevant software programs.
   

Requisition ID: 

Minimum Salary: $ 33384 

Maximum Salary: $ 56784 

The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) – see www.bscbenefitsconnect.com--will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an individual to be hired near the bottom or top of the anticipated salary range listed above.

Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).

Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements.

For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.

As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most – united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do – as a global business and as a global corporate citizen.

So, choosing a career with Boston Scientific (NYSE: BSX) isn’t just business, it’s personal. And if you’re a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!

At Boston Scientific, we recognize that nurturing a diverse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. 

Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identify, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status.  Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment.  Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements.   As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.

Among other requirements, Boston Scientific maintains specific prohibited substance test requirements for safety-sensitive positions.  This role is deemed safety-sensitive and, as such, candidates will be subject to a prohibited substance test as a requirement.  The goal of the prohibited substance testing is to increase workplace safety in compliance with the applicable law.