Subject Matter Expert - ACH

Abbott Laboratories; Taguig; Sur place; PHP 300 000 - 420 000; Plein temps

Résumé du poste

Abbott Laboratories, Philippines, is seeking a Collections Representative to resolve insurance follow-ups and denials and ensure accurate reimbursements while meeting cash goals. You will act as liaison between insurers, patients, and internal departments to ensure timely processing of claims.

Responsibilities include researching payment discrepancies, managing AR aging, handling aged payer accounts, identifying trends, escalating denied appeals, and supporting the Revenue Cycle team with

Qualifications

• High school diploma or GED required.
• Associate degree preferred.
• Level I: 1–3 years experience; Level II: 3–5 years.
• Excellent verbal and written communication skills.
• Proficient in MS Word, Excel, and Outlook.

Responsabilités

• Research and resolve payment discrepancies.
• Review AR aging report and explain past due balances to management.
• Work aged accounts on assigned payers, prioritizing accounts near timely filing denial.
• Identify issues or trends with accounts and propose resolutions.
• Escalate exhausted appeals efforts for payer resolution.
• Prepare write-off requests for uncollectible balances.
• Provide training to staff and perform quality checks for accuracy and efficiency.
• Review contracts to determine correct reimbursement for each account.
• Document notes in systems and maintain confidentiality.

Connaissances

Communication skills

Under pressure

Independent worker

IT literacy

Formation

High school diploma

Associate degree

Outils

Microsoft Word

Microsoft Excel

Outlook

Description du poste

Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology.

Our rapid diagnostics solutions are helping address some of the world’s greatest healthcare challenges.

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You will have access to:

• Career development with an international company where you can grow the career you dream of.
• A company recognized as a great place to work in dozens of countries around the world 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 a best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

As the Collections Representative, you will handle and resolve all insurance follow-up and denial issues to ensure the company receives correct reimbursements from insurance companies. You will serve as the liaison between insurance companies, patients, and internal departments to ensure claims are processed and followed up appropriately to meet company goals for Accounts Receivable Days, Aging Account percentages, and Cash goals. The role also researches and responds to questions and complaints regarding patient responsibility balances and billing inquiries with a high degree of courtesy and professionalism.

What You’ll Do

• Research 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 approaching timely filing denial.
• Identify issues or trends with accounts and provide suggestions for resolutions.
• Escalate exhausted appeals efforts for payer resolution.
• Perform assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor.
• Submit root cause analysis reports.
• Prepare write-off requests as needed for uncollectable balances.
• Keep supervisors informed of areas of concern and identified problems.
• Provide training to new and existing staff members as instructed by supervisors and perform quality checks to ensure accuracy, efficiency, and uniformity.
• Ensure assigned tasks are completed in a timely manner and team members have the resources and tools required to perform their jobs.
• Review and maintain knowledge of contracts to determine correct reimbursement for each account.
• Analyze and document accounts receivable issues and implement process improvements.
• Document accurate and appropriate notes in corresponding systems.
• Prepare clear, concise, and professional internal and external correspondence.
• Provide coverage and support across team functions as assigned by management.
• Maintain positive and results-oriented communication with payer representatives.
• Navigate and work across payer websites while supporting staff as needed.
• Enroll in payer newsletters and communicate relevant updates to management.
• Initiate and track payer appeals through resolution.
• Utilize strong communication and customer service skills.
• Exercise sound judgment and problem-solving skills when handling confidential information.
• Maintain regular attendance and punctuality.

Key Results

• Working denials in a timely manner that results in achieving cash collection goals.
• Representing the company and team in a professional and positive manner.
• Meeting and exceeding daily and monthly productivity goals.
• Maintaining a detail-oriented approach with a strong focus on quality.
• Effectively managing multiple computer applications and screens.
• Resolving identified issues within an average of 48 hours.
• Adapting to changing business needs and work responsibilities.
• Maintaining effective communication with staff and management.
• Preserving confidentiality at all times.
• Presenting ideas for process improvements and viable solutions.
• Promoting teamwork and supporting colleagues as needed.
• Performing additional functions as required by management.
• Reporting observed non-compliance issues to management.
• Participating in professional development and cross-training opportunities.

Requirements

• High school diploma or GED required.
• Associate degree preferred.
• Preferred years of experience: Level I: 1 to 3 years Level II: 3 to 5 years
• Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers.
• Excellent computer proficiency, including Microsoft Word, Excel, and Outlook.
• Ability to work under pressure and meet deadlines while maintaining a positive attitude and providing exemplary customer service.
• Ability to work independently and carry out assignments to completion within established instructions, routines, and accepted practices.

Competencies Required

Behavioral Standards

• Exhibits customer and service-oriented behaviors in everyday work interactions.
• Demonstrates a courteous and respectful attitude toward internal workforce and external customers.
• Treats others with unconditional respect, dignity, and equality.

Communication & Knowledge

• Provides accurate and timely written and verbal communication in a manner understood by all.
• Able to listen, understand, problem-solve, and carry out duties to ensure optimal outcomes.
• Able to use IT systems accurately and proficiently.

Collaboration & Teamwork

• Contributes to effective and positive working relationships with internal and external colleagues.
• Demonstrates cooperation, flexibility, reliability, dependability, and a willingness to collaborate for the benefit of customers and the organization.

Location

This position is based in Philippines.

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 and @AbbottGlobal.