Revenue Cycle Coverage and Claims Associate II

Abbott

3d • $17 - $34 • Remote

About The Position

This position works within Abbott’s Cancer Diagnostics business and supports accurate, timely insurance reimbursement by independently resolving complex eligibility, claim, denial, and payment issues. The associate uses Epic, payer portals, clearinghouse tools, and other systems to manage escalations, maintain accurate account information, and move claims toward resolution. The schedule is Monday through Friday, 8:00 a.m.–5:00 p.m. CST.

Requirements

• High School Diploma or General Education Degree (GED).
• One or more years of experience in a revenue cycle role and three or more years of experience in medical billing, claims, and/or insurance processing.
• Extensive and current knowledge of government, managed care, and commercial insurance claim submission requirements, reimbursement guidelines, and denial reason codes.
• Knowledge of medical terminology, health insurance terminology, and electronic health record (EHR) systems.
• Proficiency with computer systems and keyboarding, with strong attention to detail, organization, problem-solving, and quality output.
• Ability to work independently and collaboratively in a changing environment while communicating professionally with payers, clients, and internal teams.
• Ability to work Monday through Friday during normal business hours aligned to 8:00 a.m.–5:00 p.m. CST.
• Authorization to work in the United States without sponsorship.

Nice To Haves

• Related Associate's degree or medical billing certification.
• Five or more years of experience in the medical or insurance billing field.
• Experience with Epic or another electronic health record (EHR) application.

Responsibilities

• Independently verify patient insurance eligibility and coverage, research discrepancies, and update demographics, financial information, and guarantor details.
• Review, edit, and submit claims and appeals; correct rejected claims from claim scrubbers, clearinghouses, or payers; and provide supporting documentation as needed.
• Analyze denials, underpayments, unpaid aging claims, and reimbursement issues using federal, state, payer, and internal guidelines to determine appropriate next steps.
• Manage complex claim escalations, bulk projects, claim edit and follow-up work queues, CRM support, and workflow validation related to new products or process changes.
• Document actions accurately, maintain HIPAA confidentiality, meet quality and turnaround standards, and partner with internal teams and payers to drive timely claim resolution.

Benefits

• Career development with an international company.
• Employees can qualify for free medical coverage in the Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• Retirement savings plan with a high employer contribution.
• Tuition reimbursement.
• Freedom 2 Save student debt program.
• FreeU education benefit, an affordable and convenient path to getting a bachelor's degree.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED