Patient Financial Services Associate – II

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $17 - $34 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Abbott

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1888

🏥 Healthcare

⚕️ Healthcare Insurance

🧬 Biotechnology

Healthcare • Healthcare Insurance • Biotechnology

Abbott is a global healthcare company committed to advancing medical technologies and improving lives around the world. It offers a broad range of leading products in diagnostics, medical devices, nutrition, and branded generic medicines. Abbott's innovations such as the FreeStyle Libre glucose monitoring systems and BinaxNOW rapid antigen tests are transforming diabetes management and COVID-19 response. Through its partnerships and initiatives, Abbott aims to foster health equity, improve access to healthcare, and address critical health challenges like malnutrition and infectious diseases. Abbott is also dedicated to sustainability and social responsibility, striving to make life-changing technologies accessible and affordable.

📋 Description

• Process claims, appeals, denials, and statements accurately and promptly • Resolve billing discrepancies, eligibility issues, denials, appeals, and aged unpaid claims for commercial, government, and plan coverage • Communicate insurance information to ancillary departments and ensure appropriate coverage using Epic, external portals, and other software • Review and resolve payer denials, appeals, and claims without payer response through portals, payer calls, and system investigations • Read and understand explanations of payments to resolve backend claims • Verify and investigate patient insurance eligibility and correct accounts in Epic, including demographics, financial, and guarantor information • Interact with insurers and third-party payers to obtain and document authorizations • Research missing or erroneous account information using portals and other resources, including identifying unknown payers • Review and edit claims and appeals before clearinghouse submission • Analyze and resolve claim issues according to federal, state, and payer rules and procedures • Correct rejected claims from claim scrubbers, clearinghouses, or payers • Analyze explanations of payment and complete next steps for denials, including appeals, write-offs, or patient statements • Investigate payer underpayments and follow up on unpaid aging claims by phone • Provide supporting documentation to insurance payers • Perform accurate and timely write-offs for uncollectible accounts • Participate in team meetings and share denial trends to improve front-end claim edits and first-pass resolution • Contribute workflow and best-practice ideas to improve performance, processes, and net revenue collections • Provide ad hoc departmental support for special projects and outages or high-volume periods • Maintain confidentiality and comply with HIPAA guidelines and the Quality Management System • Work independently and collaboratively while upholding Abbott’s mission and values

🎯 Requirements

• High School Diploma or General Education Degree (GED) • 2 years of experience in medical billing, claims, and/or insurance processing • Extensive and current working knowledge of government, managed care, and commercial insurance claim submission requirements, reimbursement guidelines, and codes • Knowledge of medical terminology and/or health insurance terms • Knowledge of EHR operating systems and electronic records • Proficient in computer systems and keyboarding skills • Strong attention to detail and focus on quality output • Ability to perform essential duties with or without accommodation • Authorization to work in the United States without sponsorship • Ability to work Monday through Friday during normal business hours • Ability to work at a computer and/or type for approximately 90% of the workday • Ability to work on a computer and phone simultaneously • Ability to use a telephone through a headset • Successful completion of an Epic processes assessment with a score of 80% or higher • Preferred: Related associate degree or medical billing certification • Preferred: 4+ years of experience in medical or insurance billing • Preferred: Experience with Epic or another EHR application

🏖️ Benefits

• Remote work • Reasonable accommodation available for employees with disabilities • Equal opportunity employment