Revenue Cycle Claims Associate II

🔥 21 hours ago

🇺🇸 United States – Remote

💵 $17 - $34 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Determine initial and ongoing patient insurance eligibility and verify coverage • Investigate and correct patient accounts in Epic, including demographics, financial information, 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 • Conduct outreach to identify 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 • Monitor work queues for claims requiring additional research and resolution actions • Provide CRM support and work documents in OnBase for the TOQ department • Correct rejected claims from claim scrubbers, clearinghouses, or payors • Review explanations of payment and resolve denials through appeals, write-offs, or statements • Validate new workflows and own designated work queues until setup is validated • Investigate payor underpayments and follow up by phone on unpaid aging claims • Provide supporting documentation to insurance payors • Perform accurate and timely write-offs for uncollectible accounts • Provide ad hoc departmental support, including special projects and outage or high-volume support • Maintain confidentiality and comply with HIPAA requirements and the company Quality Management System • Stay current with medical billing regulations, rules, and guidelines • Communicate insurance information to ancillary departments and reimbursement operations teams • Work independently and collaboratively while maintaining quality and productivity standards

🎯 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 insurance claim submission requirements, reimbursement guidelines, and denial reason 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 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 • Successful completion of an assessment showing understanding of Exact Sciences Epic processes with a score of 80% or higher • Preferred: Related Associate's degree or medical billing certification • Preferred: 5+ years of experience in medical or insurance billing • Preferred: Experience with Epic or another EHR application

🏖️ Benefits

• Remote work location • Standard Monday–Friday work schedule • Reasonable accommodation available for employees with disabilities • No travel required