Analyst I, QA

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.
  
  

The Opportunity

This position works out of our Livermore, CA 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 Analyst I, QA, you’ll have the chance to analyze and audit claims, including the billing, collections and insurance verification functions. Apply sampling methods and other procedures that ensure that quality standards are met.

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.

• Responsible for identifying revenue cycle gaps and determining root cause.
• Responsible for auditing Insurance Verification, Billing, Collections, and Payment posting functions.
• Review claims for insurance carriers and tracking the status of payments.
• Reviewing invoices for patients and sending them to collect payment.
• Reviewing Collections - Collecting payments from patients and managing patient information.
• Investigating claims regarding action when insurance claims are denied or patients have not paid bills.
• Ensuring the accuracy of billing, coding, and follow-up requirements
• Apply quality principles, analyzes quality records, prepares reports and recommends improvements.
• May liaise with external vendors.
• Responsible for identifying compliance risks.
  
  

Required Qualifications

• High school diploma or GED required.
  
  

Preferred Qualifications

• Minimum 1 year. Associate degree preferred.
• Experience in revenue cycle management. Experience in working with billing and claims processing. Experience in payment posting reconciliation.
• Provides accurate and timely written and verbal communication of information in a manner that is understood by all.
• Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.
• Able to use IT systems in an accurate and proficient manner.
• Experience in working with billing and claims processing.
• Experience in payment posting reconciliation.
  
  

Physical Requirements

• Must be able to lift and carry up to 50 lbs.
• Must be able to talk, listen and speak clearly on telephone
• workstation for extended periods of time
• No lifting over 10 pounds required without assistance
• 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.

The base pay for this position is $55,200.00 – $110,400.00. In specific locations, the pay range may vary from the range posted.

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