Patient Therapy Access Specialist
2 days ago
Abbott Laboratories is seeking a highly skilled Patient Therapy Access Specialist to join our team. As a key member of our organization, you will play a critical role in facilitating and assisting patients with the pre-certification, determination, and authorization process necessary for various procedures or forms of therapy based on physician recommendation.
Key Responsibilities- Manage multiple cases simultaneously within specific time frames.
- Verify benefits, complete authorization requests promptly, and timely follow up for requested authorizations.
- Audit required clinical documents for completeness and accuracy, and 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, and collaborate with respective carrier's utilization review department to obtain appropriate authorizations.
- Assist with appeals processes as and when necessary, and educate assigned Field Territory Managers and Clinical Specialists on pre-authorization processes and requirements.
- 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, work as a team player, and share workloads with other team members.
- Excellent communication skills; verbal and written, and 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.
- Experience in medical device or DME Billing a plus.
- Knowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding).
Abbott Laboratories 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.
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 systems, 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.
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Patient Therapy Access Specialist
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Plano, Texas, United States Abbott Laboratories Full timeAbout Abbott LaboratoriesAbbott Laboratories is a leading global healthcare company that develops and manufactures innovative medical devices, diagnostics, and pharmaceuticals. Our mission is to help people live more fully at all stages of life.Job SummaryWe are seeking a highly skilled Patient Therapy Access Specialist to join our team. As a Patient Therapy...
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Plano, Texas, United States Abbott Laboratories Full timeAbout the RoleAbbott Laboratories is seeking a highly skilled Patient Therapy Access Specialist to join our team. As a key member of our organization, you will play a critical role in facilitating and assisting patients with the pre-certification, determination, and authorization process necessary for various procedures or forms of therapy based on physician...
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