Remote Triage Order Quality Associate II - Medical Billing

Abbott Laboratories; Madison (WI); Remote; USD 23,000 - 47,000; Full time

Job summary

Abbott Laboratories seeks a Triage Order Quality Associate Level II (TOQII) to manage accurate and timely insurance claim filing for Abbott Cancer Diagnostics. The role involves determining eligibility, coordinating with payors, and resolving claim issues within Epic and other systems.

Remote, United States-based, with 1st shift hours. Minimum qualifications include 1+ year in TOQ Associate Level I and 3+ years in medical billing/claims, plus knowledge of government and commercial payor rules.

Qualifications

• Experience in medical billing, claims, and/or insurance processing.
• Extensive knowledge of government, managed care, and commercial insurance submission requirements.

Responsibilities

• Verify patient insurance eligibility and update demographics in Epic.
• Interact with insurance payors to obtain authorization and document per policies.
• Research missing or erroneous information and identify unknown payors.
• Review and edit claims and appeals before submission to clearinghouse.
• Analyze denials and perform resolution steps including appeals or write-offs.
• Monitor work queues and drive claims toward resolution.
• Provide documentation to payors and support ad hoc department projects.

Skills

Medical billing

Insurance processing

HIPAA compliance

Attention to detail

Communication

Education

High School Diploma or GED

Medical billing certification

Tools

Epic

OnBase

Job description

Abbott Laboratories seeks a Triage Order Quality Associate Level II (TOQII) to manage accurate and timely insurance claim filing for Abbott Cancer Diagnostics. The role involves determining eligibility, coordinating with payors, and resolving claim issues within Epic and other systems.

Remote, United States-based, with 1st shift hours. Minimum qualifications include 1+ year in TOQ Associate Level I and 3+ years in medical billing/claims, plus knowledge of government and commercial payor rules.