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

• Accurately and timely process claims, appeals, denials, and statements • 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 response through portals, payor calls, and system investigations • Read and understand explanations of payments to resolve back-end claims • Determine patient insurance eligibility, investigate accounts, and correct patient demographics, financial information, and guarantor information in Epic • 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 submission to the clearinghouse • Analyze, research, and resolve claim issues using federal, state, and payor rules and procedures • Correct rejected claims from the claim scrubber, clearinghouse, or payor • Review explanations of payments and complete next steps for denials, including appeals, write-offs, or patient statements • Investigate payor underpayments and follow up with payors by phone on unpaid aging claims • Provide supporting documentation requested by insurance payors • Perform accurate and timely write-offs for uncollectible accounts according to policies and guidelines • Participate in team meetings to share denial trends and 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 • Complete responsibilities within required timeframes while meeting quality standards • Maintain current knowledge of medical billing regulations, rules, and guidelines • Maintain confidentiality and comply with HIPAA guidelines and regulations • Support the company Quality Management System policies and procedures

🎯 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 • Successfully complete an assessment showing understanding of Epic processes with a score of 80% or higher • 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 • 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

🏖️ Benefits

• Reasonable accommodation available, if necessary, to assist an employee with a disability • Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans