Abbott Laboratories
Insurance Data Management, Specialist III
Abbott Laboratories, Livermore, California, United States, 94551
Job TitleInsurance Data Management, Specialist IIIWorking at AbbottAt 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.The OpportunityThis position works
onsite
at our Livermore, CA 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 Medical Collector, you’ll have the chance to:Serve as the liaison between insurance companies, patients and the departments.Ensure claims are processed and followed up to meet company goals of account receivable days, aging account percentages and cash goals.Research and answer all questions and complaints regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism.What You’ll Work OnThe 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.Collector Level IIIResearch and resolve payment discrepancies.Review and manage the AR aging report and provide explanations of past due balances to management.Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.Identify issues or trends with accounts and provide suggestions for resolutions.Escalate exhausted appeals efforts for resolution with payer.Performs assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor.Able to submit a root cause analysis report.Prepare write off requests as needed for any uncollectable balances.Keeps supervisor informed of areas of concern and problems identified.Provide training to new and existing staff members as instructed by supervisor.Ensure staff complete all assigned tasks in a timely manner and that they have the resources and tools to perform their jobs.Review/knowledge of contracts to determine correct reimbursement for each account.Analyze and document A/R problems and implement processes to enhance efficiencies.Document accurate and appropriate notes on corresponding systems as needed.Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner.Provide coverage as needed to include performing staff’s work during their absences as assigned by management.Maintains positive and regular results-oriented communication with payer representatives.Navigate and works all payer websites. Provide support to staff as needed.Enroll in payer newsletters and advise manager of needs.Initiate appeals to payers following the guidelines outlined for that payer.Utilizes strong communication and customer service skills.Consistently practices good judgment and problem-solving skills when handling confidential information.Regular attendance and punctuality.Required QualificationsHigh school diploma or GED required.Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.Excellent computer proficiency (MS Office – Word, Excel and Outlook).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.Preferred QualificationsAssociate degree preferred.Preferred years of experience - Level three 5+ years of experience.CompensationThe base pay for this position is $23.90 – $47.80 per hour. In specific locations, the pay range may vary from the range posted.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.
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onsite
at our Livermore, CA 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 Medical Collector, you’ll have the chance to:Serve as the liaison between insurance companies, patients and the departments.Ensure claims are processed and followed up to meet company goals of account receivable days, aging account percentages and cash goals.Research and answer all questions and complaints regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism.What You’ll Work OnThe 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.Collector Level IIIResearch and resolve payment discrepancies.Review and manage the AR aging report and provide explanations of past due balances to management.Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.Identify issues or trends with accounts and provide suggestions for resolutions.Escalate exhausted appeals efforts for resolution with payer.Performs assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor.Able to submit a root cause analysis report.Prepare write off requests as needed for any uncollectable balances.Keeps supervisor informed of areas of concern and problems identified.Provide training to new and existing staff members as instructed by supervisor.Ensure staff complete all assigned tasks in a timely manner and that they have the resources and tools to perform their jobs.Review/knowledge of contracts to determine correct reimbursement for each account.Analyze and document A/R problems and implement processes to enhance efficiencies.Document accurate and appropriate notes on corresponding systems as needed.Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner.Provide coverage as needed to include performing staff’s work during their absences as assigned by management.Maintains positive and regular results-oriented communication with payer representatives.Navigate and works all payer websites. Provide support to staff as needed.Enroll in payer newsletters and advise manager of needs.Initiate appeals to payers following the guidelines outlined for that payer.Utilizes strong communication and customer service skills.Consistently practices good judgment and problem-solving skills when handling confidential information.Regular attendance and punctuality.Required QualificationsHigh school diploma or GED required.Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.Excellent computer proficiency (MS Office – Word, Excel and Outlook).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.Preferred QualificationsAssociate degree preferred.Preferred years of experience - Level three 5+ years of experience.CompensationThe base pay for this position is $23.90 – $47.80 per hour. In specific locations, the pay range may vary from the range posted.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.
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