Inspire Medical Systems
Prior Authorization Specialist - Float
Inspire Medical Systems, Minneapolis, Minnesota, United States, 55400
Prior Authorization Specialist - Float
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Inspire Medical Systems
About Inspire Medical Systems Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA‑approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients’ lives through sleep innovation. We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect. With positive persistence at our core, we are committed to all those we serve.
Why Join Our Fast‑Growing Team We value people – your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people‑first culture by offering excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement.
Fully Remote Position*
About This Position We are recruiting for a
Prior Authorization Specialist
to join our team. In this role, you will provide expertise in the area of prior authorization and play a critical role in ensuring adequate coverage and resource distribution across the department. Unlike the traditional Prior Authorization Specialist role, this position does not have an assigned territory of clinics. Instead, the Float will provide flexible support to clinics and territories as coverage needs arise.
Opportunities You Will Have in This Role
Support Inspire’s Prior Authorization Program, including:
Entering and managing patient information in database
Assisting with patient intake and verifying insurance coverage
Calling insurers to obtain the status of prior authorization requests
Working with patients and sites to pursue authorization success
Provide flexible coverage across territories, including:
Supporting any assigned clinic/territory as coverage needs dictate***
Assist in tracking and monitoring progress of prior authorization requests, along with all related appeals through to EMR.
Participate in updating the packet of materials and best practices to support the prior authorization processes for upper airway stimulation.
Seek continuous process improvement to increase success rates and reduce time to success.
Implement Inspire’s Prior Authorization Program, including:
Training sites on program requirements
Entering and managing patient information in database
Completing prior authorization requests
Providing guidance to participating sites on prior authorization requests
Working directly with the field and clinic to pursue prior authorization success
Work in conjunction with manager and staff to execute action plans and objectives to support internal/external clients.
Quality System Responsibilities
Complete training requirements and competency confirmations as required for this position within the required timeline.
Comply with applicable quality system procedures/policies and make suggestions for continuous process improvement.
Required Qualifications
3+ years of related work experience in prior authorization
Ability to read, interpret and appropriately respond to payer requirements relating to prior authorization
Ability to read, interpret and summarize clinical literature
Excellent written and oral communication skills
Proficient in Microsoft Office applications, including Word, PowerPoint, Excel
High attention to detail and strong team attitude
Ability to manage a high workload while maintaining accuracy and efficiency in a fast‑paced setting
Comfortable in a small, dynamic company environment with frequent changes in direction
Preferred Qualifications
Bachelor’s degree
Medical device experience
Experience working in a clinic or medical practice environment
Salary $56,000—$70,000 USD
Benefits and Other Compensation
Multiple health insurance plan options
Employer contributions to Health Savings Account
Dental, Vision, Life and Disability benefits
401k plan + employer match
Identity Protection
Flexible time off
Tuition Reimbursement
Employee Assistance program
All employees have the opportunity to participate in ownership and success of Inspire; equity awards and the Employee Stock Purchase Program are available at all levels.
Equal Employment Opportunity Statement Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, pregnancy or childbirth, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non‑discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis.
Inspire Medical Systems is an equal opportunity employer focused on creating a diverse workforce. Applicants with a disability requiring accommodation to complete the application process should contact Human Resources at 844-672-4357 or email careers@inspiresleep.com. Inspire Medical Systems participates in E‑Verify.
Seniority Level Mid‑Senior level
Employment Type Temporary
Job Function Other
Industries Medical Equipment Manufacturing
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at
Inspire Medical Systems
About Inspire Medical Systems Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA‑approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients’ lives through sleep innovation. We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect. With positive persistence at our core, we are committed to all those we serve.
Why Join Our Fast‑Growing Team We value people – your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people‑first culture by offering excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement.
Fully Remote Position*
About This Position We are recruiting for a
Prior Authorization Specialist
to join our team. In this role, you will provide expertise in the area of prior authorization and play a critical role in ensuring adequate coverage and resource distribution across the department. Unlike the traditional Prior Authorization Specialist role, this position does not have an assigned territory of clinics. Instead, the Float will provide flexible support to clinics and territories as coverage needs arise.
Opportunities You Will Have in This Role
Support Inspire’s Prior Authorization Program, including:
Entering and managing patient information in database
Assisting with patient intake and verifying insurance coverage
Calling insurers to obtain the status of prior authorization requests
Working with patients and sites to pursue authorization success
Provide flexible coverage across territories, including:
Supporting any assigned clinic/territory as coverage needs dictate***
Assist in tracking and monitoring progress of prior authorization requests, along with all related appeals through to EMR.
Participate in updating the packet of materials and best practices to support the prior authorization processes for upper airway stimulation.
Seek continuous process improvement to increase success rates and reduce time to success.
Implement Inspire’s Prior Authorization Program, including:
Training sites on program requirements
Entering and managing patient information in database
Completing prior authorization requests
Providing guidance to participating sites on prior authorization requests
Working directly with the field and clinic to pursue prior authorization success
Work in conjunction with manager and staff to execute action plans and objectives to support internal/external clients.
Quality System Responsibilities
Complete training requirements and competency confirmations as required for this position within the required timeline.
Comply with applicable quality system procedures/policies and make suggestions for continuous process improvement.
Required Qualifications
3+ years of related work experience in prior authorization
Ability to read, interpret and appropriately respond to payer requirements relating to prior authorization
Ability to read, interpret and summarize clinical literature
Excellent written and oral communication skills
Proficient in Microsoft Office applications, including Word, PowerPoint, Excel
High attention to detail and strong team attitude
Ability to manage a high workload while maintaining accuracy and efficiency in a fast‑paced setting
Comfortable in a small, dynamic company environment with frequent changes in direction
Preferred Qualifications
Bachelor’s degree
Medical device experience
Experience working in a clinic or medical practice environment
Salary $56,000—$70,000 USD
Benefits and Other Compensation
Multiple health insurance plan options
Employer contributions to Health Savings Account
Dental, Vision, Life and Disability benefits
401k plan + employer match
Identity Protection
Flexible time off
Tuition Reimbursement
Employee Assistance program
All employees have the opportunity to participate in ownership and success of Inspire; equity awards and the Employee Stock Purchase Program are available at all levels.
Equal Employment Opportunity Statement Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, pregnancy or childbirth, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non‑discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis.
Inspire Medical Systems is an equal opportunity employer focused on creating a diverse workforce. Applicants with a disability requiring accommodation to complete the application process should contact Human Resources at 844-672-4357 or email careers@inspiresleep.com. Inspire Medical Systems participates in E‑Verify.
Seniority Level Mid‑Senior level
Employment Type Temporary
Job Function Other
Industries Medical Equipment Manufacturing
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