Prior Authorization Specialist

Why work for CVRx?

CVRx pioneers' unique therapies that harness and harmonize the body’s natural systems, benefiting society and making CVRx a universal role model in healthcare. We value our commitments to others and continue to overcome challenges through determination, collaboration and purpose. If our culture and values speak to you, and if you have a passion for cutting-edge medical technologies, join our team and our mission to help others live better lives.

A day in the life:

As the Prior Authorization Specialist, you will play a critical role in driving seamless access to care by managing internal prior authorizations, reauthorizations, and appeals with precision and efficiency. This position ensures timely authorizations, maintains accurate documentation of payer information and consumer status, and liaises directly with insurance representatives to navigate complex cases. Occasionally, the specialist will engage directly with consumers to provide guidance and support.

In this dynamic role, the Prior Authorization Specialist also leads the onboarding process for new sites joining the CVRx Prior Authorization Service, oversees multiple cases simultaneously, and keeps the sales team informed of case progress, ensuring transparency and efficiency at every stage. This is a key position for someone who thrives in a fast-paced environment and is passionate about making a meaningful impact in the healthcare space.

Key Duties and Responsibilities:

• Managing Barostim prior authorizations:
• Accurately entering and maintaining consumer information in the database.
• Assisting with consumer intake and verifying insurance coverage.
• Communicating with insurance companies to track the status of authorization requests.
• Collaborating with consumers and sites to achieve successful authorizations.
• Driving process improvement: Continuously refining workflows to boost success rates and accelerate authorization timelines.
• Strategic collaboration: Partnering with the manager and HCA team to execute effective action plans and objectives.
• Onboarding and updates: Streamlining the onboarding of new sites and providing timely case updates to sales teams.
• Navigating payer requirements: Interpreting and responding to payer guidelines to ensure compliance and maximize outcomes.

Requirements

What we expect from you:

• High School Diploma.
• Previous prior authorization and reimbursement experience.
• Knowledge of medical and claims processing terminology.
• Excellent written/verbal communication, including ability to provide clear instructions.
• Must be able to work independently with high attention to detail and processes.
• Strong critical thinking and problem solving skills.
• Comfortable working in a small start-up company with a dynamic environment and frequent changes in direction.
• Knowledge of reimbursement compliance requirements and ability to maintain a high level of personal integrity to promote a compliant reimbursement environment.

What we would like to see:

• Bachelor’s degree or four (4) or more years of relevant experience in prior authorization and appeal requests.
• Experience modifying and updating processes and systems for the purpose of improving program effectiveness.

Working Conditions:

• Normal Remote working conditions.
• May be required to be fully vaccinated against the COVID-19 virus and other diseases.

Benefits

What we offer:

CVRx is proud to offer competitive salaries and benefits plans.

We offer a culture of teamwork, collaboration, and positivity, where challenging the status quo is welcomed, continuous learning is valued, and each of us has an opportunity to make a significant impact in an exciting, purpose-driven startup environment while also having fun.

Salary (or Hourly) range for U.S locations (USD): 60,000 TO 70,000 PER YEAR

The base salary range is applicable across the U.S., complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and specific location.

We also offer a competitive benefits package, details listed below:

• Competitive Health & Dental Insurance options with generous Company contributions
• Company contributions to an HSA with a high deductible insurance plan selection
• 401(k) with a company match
• Employee stock purchase plan & stock option grants
• 12 company-paid holidays per year in addition to accruing PTO
• Generous paid time off for new parents
• Company-paid life insurance & disability options
• Unlimited growth opportunities
• Training & learning opportunities
• Flexible Schedules

EEO statement

CVRx, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. 
 
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. 

If you're an independent, self-motivated individual with excellent interpersonal skills, a desire to do great things and a have a background in medical devices, healthcare or a related field, we want to hear from you!  

If you need assistance or an accommodation due to a disability, you may contact us at hiring@cvrx.com 

This requisition will be open until filled.