SME, Verification of Benefits job opportunity at Abbott.

Home Jobs In United States Of America Tag: Verification of Benefits SME, Verification of Benefits position at Abbott


DateMore Than 30 Days Ago bot
Abbott SME, Verification of Benefits
Experience: General
Pattern: full-time
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Verification of Benefits

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degreeAssociate
loacation United States - Florida - Lake Mary, United States Of America
loacation United States ..........United States Of America

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.       JOB DESCRIPTION: Job Title SME, Verification of Benefits Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Orlando, Florida location in the Abbott Heart Failure, Acelis Connected Health business. Our Heart Failure solutions are helping address some of the World’s greatest healthcare challenges. As the SME Verification of Benefits, you’ll have the chance to assist our patients in having accurate insurance information on file and collecting authorizations or PCP referrals as needed. What You’ll Work On The following reflects management’s definition of essential functions for this job, but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. Contacts insurance companies to verify status of customer benefits. Files pre-authorizations for new and ongoing services with insurance companies and follow up for an outcome. Files Appeals to insurance companies as needed Gathers all necessary documents as requested by insurance companies. Maintains customer records in practice management system related to coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance company. Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification, authorization, appeals and outcomes for services of care. Provides customers with information regarding their status, which may include: developing financial breakdowns for the patient, giving the patient estimates of costs and collecting co-pays, if applicable. Assist in coordination of Single Case Agreements for non-contracted plans Applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes. Assist employees in understanding tasks and department processes and workflow Organize and distribute daily tasks as needed Provides feedback to management regarding department tools , workflow and payer outcomes that impact department processes and handling Work with Quality and Process team on department tools and work instructions Assists with employee on boarding and ongoing training Assists or leads department projects Point of contact to assist other departments on escalated issues or reported incidents or raise to management Performs other related duties as assigned. Required Qualifications High School diploma or GED required Two or more years’ experience in prior authorizations Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices Understand the process for verification of benefits as it relates to the policies and procedures for effective placement of medical services. Complete Understanding of Medicare Rules and Regulations Understanding of Managed Care as it relates to benefits and authorizations Advanced MS Office experience, with an emphasis on MS Excel desired Preferred Qualifications Associate’s Degree preferred Knowledge in Contracting and Fee Schedules Strong Computer/Software Skills Apply Now Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity. Connect with us at www.abbott.com , on Facebook at www.facebook.com/Abbott , and on Twitter @AbbottNews.       The base pay for this position is $20.85 – $41.75/hour In specific locations, the pay range may vary from the range posted.       JOB FAMILY: Customer Service       DIVISION: HF Heart Failure          LOCATION: United States > Lake Mary : 1101 Greenwood Boulevard       ADDITIONAL LOCATIONS:       WORK SHIFT: Standard       TRAVEL: Not specified       MEDICAL SURVEILLANCE: Not Applicable       SIGNIFICANT WORK ACTIVITIES: Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous walking for prolonged periods (more than 2 hours at a time in an 8 hour day)       Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.       EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf       EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

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