Verification of Benefits Specialist

RiseMe; Florida; On-site; USD 23,000 - 47,000; Full time

Job summary

Abbott is seeking a Verification of Benefits Specialist based at our Lake Mary, FL location within the Heart Failure division. You’ll verify insurance benefits, obtain authorizations, and communicate with insurance companies to support patient care.

You will manage records, coordinate with departments, and provide clear updates on status and financial responsibilities. Strong Excel and communication skills are essential.

Qualifications

• High school diploma or GED required.
• Minimum 1 year experience in insurance benefits verification and/or collections.
• Excellent verbal and written communication skills.
• Ability to work under pressure and meet deadlines with a positive attitude.
• Ability to work independently and complete assignments within standard practices.
• Understanding of Medicare rules and regulations.
• Understanding of Managed Care related to benefits and authorizations.
• Advanced MS Office experience, especially Excel.

Responsibilities

• Contacts insurance companies to verify insurance benefits.
• Initiates pre-authorization, PCP referral, and letter of agreement requests and follows up.
• Files appeals for denied coverage as needed.
• Maintains customer records in the practice management system for benefits and authorizations.
• Coordinates with other departments to obtain necessary information for verifications and outcomes.
• Provides customers with updates on authorizations and patient financial responsibility.
• Performs related duties as assigned.

Skills

Insurance verification

Customer service

MS Excel

MS Office

Communication

Documentation

Time management

Education

High school diploma or GED

Associate's degree (preferred)

Tools

Practice management system

Job description

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

About Abbott

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.

The Opportunity

This position works out of our Lake Mary 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 Verification of Benefits Specialist, you’ll have the chance to assist our patients in having accurate insurance information on file and collecting authorizations or PCP referrals as needed.

What You’ll Do

The 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.

• 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 companies.
• 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.

Experience You’ll Bring

Required Qualifications

• High school diploma or GED required
• Preferred two or more years’ experience, but a minimum of 1 years’ 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 Qualifications

• Associate’s degree Preferred
• Knowledge in Medical Insurance
• Knowledge in Contracting and Fee Schedules
• Strong Computer/Software Skills

Physical Requirements

• Must be able to work at a computer workstation for extended periods of time

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com

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.

Divisional Information

Medical Devices

Our medical devices help more than 10,000 people have healthier hearts, improve quality of life for thousands of people living with chronic pain and movement disorders, and liberate more than 500,000 people with diabetes from routine fingersticks.

CRM

As a global leader in Cardiac Rhythm Technologies, we focus on innovative technologies that can improve the way doctors treat people with heart arrhythmias, or irregular heartbeats.

Diabetes

We’re focused on helping people with diabetes manage their health with life-changing products that provide accurate data to drive better-informed decisions. We’re revolutionizing the way people monitor their glucose levels with our new sensing technology.

Vascular

Abbott Vascular provides innovative, minimally invasive, and cost-effective products for treatment of vascular disease.

Neuromodulation

Our Neuromodulation business includes implantable devices compatible with mobile technology to help people who suffer from chronic pain and movement disorders. These non-opioid therapies allow us to provide interventional pain therapy to patients throughout the pain continuum.

Structural Heart

Structural Heart Business Mission: why we exist

Our business purpose is to restore health and improve quality of life through the design and provision of device and management solutions for the treatment of structural heart disease.

EP

In Abbott’s Electrophysiology (EP) business, we’re advancing the treatment of heart disease through breakthrough medical technologies in atrial fibrillation, allowing people to restore their health and get on with their lives.

HF

In Abbott’s Heart Failure (HF) business, we’re developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives.

Diagnostics

We’re empowering smarter medical and economic decision making to help transform the way people manage their health at all stages of life. Every day, more than 10 million tests are run on Abbott’s diagnostics instruments, providing lab results for millions of people.

Abbott Molecular is a leader in molecular diagnostics and the analysis of DNA, RNA, and proteins at the molecular level.

Our Point of Care diagnostic portfolio spans key heath and therapeutic areas, including infections disease, cardiometabolic, informatics and toxicology.

Our diagnostic solutions are used in hospitals, laboratories and clinics around the globe. The crucial information derived from our tests, instruments and informatics systems are often the first step in patient care decision making for hundreds of health conditions from heart attacks to blood disorders to infectious diseases and cancers.

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

Nutrition

Our nutrition business develops science-based nutrition products for people of all ages, from helping babies and children grow to keeping adult bodies strong and active. Millions of people around the world count on our leading brands – including Similac®, PediaSure®, Pedialyte®, Ensure®, and Glucerna® – to help them get the nutrients they need to live their healthiest lives

The base pay for this position is

$17.15 – $34.25/hour

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Customer Service

DIVISION:

HF Heart Failure

LOCATION:

United States > Lake Mary : 1101 Greenwood Boulevard

WORK SHIFT:

Standard

TRAVEL:

No

MEDICAL SURVEILLANCE:

No

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)

Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans. EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf