Patient Therapy Access Specialist
1 day ago
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 114,000 colleagues serve people in more than 160 countries.
Working at Abbott
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’ll also have access to:
- Career development with an international company where you can grow the career you dream of.
- Free medical coverage for employees* via the Health Investment Plan (HIP) PPO
- An excellent retirement savings plan with high employer contribution
- Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
- 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.
For years, Abbott’s medical device businesses have offered technologies that are faster, more effective, and less invasive. Whether it’s glucose monitoring system, innovative therapies for treating heart disease, or products that help people with chronic pain or movement disorders, our medical device technologies are designed to help people live their lives better and healthier. Every day, our technologies 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.
The Opportunity
Our location in Plano, TX currently has an opportunity for a Patient Therapy Access Specialist professional. This individual is responsible for facilitating and assisting Abbott patients with the pre-certification, determination and authorization process necessary as a prerequisite to perform various procedures or forms of therapy based on physician recommendation. Additionally, will assist with multiple levels of appeal in the event of initial coverage denial as well as forward authorized confirmation for procedure to designated patient provider. The Specialist will provide regular updates to the patient and their designated provider regarding patient case status and next steps.
What You’ll Work On
- Responsible for managing multiple cases simultaneously within specific time frames.
- Follow all policies and procedures related to performing the job role adhering to all data use, storage and privacy policies as outlined by Abbott.
- Verify benefits, complete authorization requests promptly.
- Timely follow up for requested authorizations.
- For each procedure, audit required clinical documents for completeness and accuracy.
- Obtain authorization for the facility, equipment and physician to perform various procedures from the insurance carrier.
- Work with key provider contacts to obtain required clinical information for authorizations.
- Work with respective carrier’s utilization review department to obtain appropriate authorizations.
- Assist with appeals processes as and when necessary.
- Assist with the training of patients and their designated providers on pre-authorization processes and requirements, in person or by phone.
- Work individually and in a team environment to educate assigned Field Territory Managers and Clinical Specialists.
Required Qualifications
- Associates Degree in Nursing/Home Health (LVN/LPN) or related field OR an equivalent combination of education and experience
- Minimum of 2 years in a utilization (medical approval) environment or similar work experience.
- General knowledge of private insurance, Worker’s Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review.
- Proficient with Microsoft Office (Word & Excel specifically).
- Ability to accurately meet required time frames/deadlines.
- Ability to work as a team player and share workloads with other team members.
- Excellent communication skills; verbal and written.
- Previous experience in public speaking or presenting to small groups.
- Attention to detail.
- Excellent organization skills and ability to multi-task in a fast-paced environment.
Preferred Qualifications
- Experience in medical device or DME Billing a plus.
- Knowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding).
Apply Now
* Participants who complete a short wellness assessment qualify for FREE coverage in our HIP PPO medical plan. Free coverage applies in the next calendar year.
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.
The base pay for this position is $19.60 – $39.20 per hour. In specific locations, the pay range may vary from the range posted.
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