Abbott · 8 hours ago
Verification of Benefits Specialist
Lake Mary, FL
Full-time
Onsite
Entry Level
$17.15/hr - $34.25/hr
1+ years expAbbott is a global healthcare leader that helps people live more fully at all stages of life. As a Verification of Benefits Specialist, you will assist patients in ensuring accurate insurance information and collecting necessary authorizations or referrals.
BiotechnologyEmergency MedicineGeneticsHealth CareHealth DiagnosticsManufacturingMedicalMedical DeviceNutritionPharmaceutical
Responsibilities
Contacts insurance companies to verify insurance benefits
Initiates Pre-authorization, PCP referral and Letter of Agreement requests 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, 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 that includes but is not limited to : updates on status of authorizations, developing & communicating patient financial responsibility estimates, 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
Qualification
Required
High school diploma or GED required
Preferred two or more years' experience, but a minimum of 1 year experience is required in insurance benefits verification and/or collections and/or managed care contracting
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 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
Continued Self Improvement courses & seminars related to position along with 'In House' programs provided by Acelis Connected Health/Abbott
Preferred
Associate's Degree is preferred
Knowledge in Managed Care
Knowledge in Contracting and Fee Schedules
Strong Computer/Software Skills
Benefits
Free medical coverage in our Health Investment Plan (HIP) PPO medical plan
An excellent retirement savings plan with a high employer contribution
Tuition reimbursement
The Freedom 2 Save student debt program
FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree
Company
Abbott
Abbott is a healthcare company that produces diagnostic kits, medical devices, nutritional products, and branded generic medicines.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$6.79M2011-03-15Post Ipo Debt· $0.1M
2009-03-16Post Ipo Debt· $6.69M
1980-12-12IPO
Leadership Team
Robert Ford
President & Chief Executive Officer
Mike Peterson
Senior Vice President
Recent News
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