Job Title
Verification of Benefits Specialist VAD
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. Youll also have access to:
Career development with an international company where you can grow the career you dream of.
Employees can qualify forfree medical coverage in ourHealth Investment Plan (HIP) PPOmedical 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 bachelors 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 Worlds greatest healthcare challenges.
As the Verification of Benefits Specialist VAD youll have the chance to assist our patients in having accurate insurance information on file and collecting authorizations or PCP referrals as needed.
What Youll Work On
The following reflects managements 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.
Contactsinsurance companies to verify insurance benefits.
InitiatesPre-authorization PCPreferraland Letter of Agreementrequests for new and ongoing services with insurance companies and performs follow up activities for an outcome.
Files Appeals for denied coverage to insurance companies as needed.
Maintains customer records in practice management system related to benefit coverage coordination of benefits authorizations denials appealsoutcomesand communication with insurancecompany.
Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification authorizationappealsand outcomes for services of care.
Provides customers with information that includes but is not limitedto:updates on status of authorizations developing & communicating patientfinancial responsibilityestimates and collecting co-pays if applicable.
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.
Performs other related duties as assigned.
Required Qualifications
High school diploma or GED
Preferred two or more years experiencebuta minimum of 1 year experience isin insurance benefits verification and/or collections and/or managed care contracting.
Excellent verbal and written communication skills includingabilityto effectively communicate with internal and external customers.
Must be able to work under pressure and meet deadlines whilemaintaininga 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 or collections 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
Associates Degree is preferred
Knowledge in Managed Care
Knowledge in Contracting and Fee Schedules
Strong Computer/Software Skills
Learn more about our health and wellness benefits which provide the security to help you and your family live full lives:
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 on Facebook at and on Twitter @AbbottNews.
The base pay for this position is
$17.15 $34.25/hourIn specific locations the pay range may vary from the range posted.
Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.
EEO is the Law link - English: EEO is the Law link - Espanol: Experience:
IC
WHO WE ARE CREATING LIFE-CHANGING TECHNOLOGY From removing the regular pain of fingersticks as people manage their diabetes to connecting patients to doctors with real-time information monitoring their hearts, from easing chronic pain and movement disorders to testing half the world’s ... View more