Revenue Cycle Associate II

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $17 - $34 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 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

• File insurance claims accurately and timely for Abbott Cancer Diagnostics • Determine initial and ongoing patient insurance eligibility, coverage, and reimbursement order details • Identify order and reimbursement deficiencies, route orders for appropriate action, and assist with triaging • Document actions within systems for claims lifecycle tracking • Resolve escalated claims that Revenue Cycle Coverage and Claims Associate I cannot resolve • Work on bulk claim projects • Use Epic, external portals, and other software to ensure appropriate coverage • Communicate insurance information to ancillary departments and reimbursement operations teams • Verify patient insurance eligibility and correct accounts in Epic, including demographics, financial information, and guarantor information • Interact with insurers and third-party payors to obtain and document authorizations • Research missing or erroneous account information, including unknown payors • Review and edit claims and appeals before submitting to the clearinghouse • Analyze, research, and resolve claim issues under federal, state, and payor rules • Monitor work queues for claims requiring additional research and resolution actions • Provide CRM support and work documents in OnBase for the TOQ department • Correct claims rejected by claim scrubbers, clearinghouses, or payors • Review explanations of payment and resolve denials through appeals, write-offs, or statements • Validate new workflows and own specific work queues until setup is validated • 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 • Provide ad-hoc departmental support during special projects, outages, or high-volume periods • Maintain quality, confidentiality, and HIPAA compliance • Stay current with medical billing regulations, rules, and guidelines • Support company Quality Management System policies and procedures

🎯 Requirements

• High School Diploma or General Education Degree (GED) • 1+ years in a revenue cycle role • 3+ 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 denial reason 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 Exact Sciences Epic processes with a score of 80% or higher • Related Associate's degree or medical billing certification (preferred) • 5+ years of experience in medical or insurance billing field (preferred) • Experience with Epic or other EHR application (preferred)

🏖️ Benefits

• Equal Opportunity Employer protections for Minorities/Women/Individuals with Disabilities/Protected Veterans • Reasonable accommodation available, if necessary, for employees with disabilities • No travel required