Remote Insurance Claims Triage Specialist II

RXinsider LTD.; Madison (WI); Remote; USD 23.000 - 47.000; Vollzeit

Zusammenfassung

Abbott is a global healthcare leader seeking a Triage Order Quality Associate Level II (TOQII) to manage accurate and timely medical insurance claim filing for Abbott Cancer Diagnostics. You will verify eligibility, coordinate with payors, and resolve claim issues using Epic and other systems.

This remote United States role emphasizes HIPAA compliance, attention to detail, teamwork, and the ability to handle high-volume workflows during standard business hours.

Qualifikationen

• High School Diploma or GED is required.
• 1+ years of TOQ Associate Level I experience.
• 3+ years of medical billing, claims, and/or insurance processing.
• Knowledge of government, managed care, and commercial claim submission rules.
• Authorization to work in the United States without sponsorship.
• Experience with EHR operating systems and medical terminology.

Aufgaben

• Verify initial or ongoing patient insurance eligibility and update accounts in Epic.
• Interact with payors to obtain and document authorizations per policy.
• Research missing or erroneous information across portals and payors.
• Review and edit claims before submission to the clearinghouse.
• Analyze and resolve claim issues with payor rules and procedures.
• Monitor queues and escalate to resolution as needed.
• Provide CRM support and maintain confidentiality per HIPAA.

Kenntnisse

Medical billing

Claims processing

HIPAA guidelines

EHR systems

Attention to detail

Teamwork

Ausbildung

High School Diploma or GED

Associate degree / medical billing certification

Tools

Epic

EHR software

Jobbeschreibung

Abbott is a global healthcare leader seeking a Triage Order Quality Associate Level II (TOQII) to manage accurate and timely medical insurance claim filing for Abbott Cancer Diagnostics. You will verify eligibility, coordinate with payors, and resolve claim issues using Epic and other systems.

This remote United States role emphasizes HIPAA compliance, attention to detail, teamwork, and the ability to handle high-volume workflows during standard business hours.