Verification of Benefits Specialist

Abbott•Lake Mary, FL

13h•$17 - $34

About The Position

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 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 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. 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.

Requirements

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.

Nice To Haves

Associate’s Degree is preferred
Knowledge in Managed Care
Knowledge in Contracting and Fee Schedules
Strong Computer/Software Skills

Responsibilities

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

Benefits

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 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 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.

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