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%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 timely • 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 payor denials, appeals, and claims with no payor response through portals, calls, and system investigations • Read and understand explanations of payments to resolve back-end claims • Verify patient insurance eligibility and investigate and correct accounts within Epic, including demographics, financial, and guarantor information • Interact with insurers and third-party payors to obtain and document authorization • Research missing or erroneous account information using portals and other resources, including identifying unknown payors • Review and edit claims and appeals before clearinghouse submission • Analyze and resolve claim issues using federal, state, and payor rules and procedures • Correct rejected claims from claim scrubbers, clearinghouses, or payors • Analyze explanations of payments and complete appropriate denial resolution steps, including appeals, write-offs, or statements • Investigate payor underpayments and follow up on unpaid aging claims by phone • Provide supporting documentation to insurance payors • 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, outages, and high-volume periods • Maintain confidentiality and comply with HIPAA, Quality Management System policies, and procedures • Complete responsibilities within required timeframes and quality standards

🎯 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 insurances claim submission requirements, reimbursement guidelines, and codes • Knowledge of medical terminology and/or health insurance terms • Knowledge of EHR operating systems and work involving electronic records • Proficient in computer systems and keyboarding skills • Demonstrated strong attention to detail and focus on quality output • Demonstrated ability to perform the Essential Duties of the position 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 in front of a computer screen and/or perform typing for approximately 90% of a typical working day • Ability to work on a computer and phone simultaneously • Ability to use a telephone through a headset • Successfully complete an assessment showing understanding of Epic processes 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 field • Preferred: Experience with Epic or other EHR application