Verification of Benefits Specialist

Abbott • Lake Mary, FL • 2h 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.

Job Title

Verification of Benefits Specialist, VAD

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and your 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.

Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.

An excellent retirement savings plan with a high employer contribution.

Tuition reimbursement, the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program, and FreeU (https://www.abbott.com/corpnewsroom/strategy-and-strength/college-degree-for-free-its-possible-with-freeu.html) 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 worldwide 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 the best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

This position works out of our Orlando, Florida 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, VAD, 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 Work On

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 direct communication and building relationship contacts with health plans to secure Single Case Agreements.

Responsible for the management of all Single Case Agreements, including, tracking outcomes, identifying problem payers, negotiating rates (as needed), and securing required signatures.

Oversees and ensures the accuracy of Single Case Agreements meets authorization and claims requirements.

Collaborate with Provider Relations Manager, Verification of Benefits Manager and Revenue Cycle manager on payment analysis and providing feedback for new patient admissions and or continuation of care.

Present feedback on outcomes and correspondence or lack of correspondence related to Single Case Agreements that present risk on reimbursement outcomes.

Routinely evaluates Insurance Master, Plan Guidelines and non-contracted tools of current processes and make updates as needed based on Single Case Agreement outcomes.

Acquires necessary medical records and documentation from customer charts to communicate via phone, fax or e-mail with other medical facilities, hospitals and insurance carriers.

Follows all regulatory policies and procedures, privacy and security standards in accordance with government agencies to include HIPAA requirements.

Performs other duties as assigned by superiors

Required Qualifications

High School Diploma or GED required

Three to Five (3-5) years' experience in insurance benefit 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 and collections as it relates to the policies and procedures for effective placement of customers and reimbursement.

Complete Understanding of Medicare Rules and Regulations

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 is preferred

Knowledge in Managed Care

Knowledge in Contracting and Fee Schedules

Strong Computer/Software Skills

Apply Now (https://www.jobs.abbott/us/en)

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com (http://www.abbottbenefits.com/pages/candidate.aspx)

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 $17.15 - $34.25 per hour. In specific locations, the pay range may vary from the range posted.

An Equal Opportunity Employer

Abbot welcomes and encourages diversity in our workforce.

We provide reasonable accommodation to qualified individuals with disabilities.

To request accommodation, please call 224-667-4913 or email corpjat@abbott.com

Abbott

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