Verification of Benefits Specialist, VAD

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Verification of Benefits Specialist, VAD

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locations

United States - Florida - Orlando

time type

Full time

posted on

Posted 2 Days Ago

job requisition id

31083772

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

About Abbott
Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology.
Working at Abbott
At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:
Career development with an international company where you can grow the career you dream of.
Free medical coverage for employees* via the Health Investment Plan (HIP) PPO
An excellent retirement savings plan with high employer contribution
Tuition reimbursement, the Freedom 2 Save

student debt program and FreeU

education benefit an affordable and convenient path to getting a bachelor’s degree.
A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.
The Opportunity
This position works out of our Orlando, Florida location in the Abbott Heart Failure, Acelis Connected Health business. Our Heart Failure solutions are helping address some of the World’s greatest healthcare challenges.
As the Verification of Benefits Specialist, VAD, you’ll have the chance to assist our patients in having accurate insurance information on file and collecting authorizations or PCP referrals as needed.
Principle Responsibilities
The following reflects management’s definition of essential functions for this job, but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.
Responsible for direct communication and building relationship contacts with health plans to secure Single Case Agreements.
Responsible for the management of all Single Case Agreements, including, tracking outcomes, identifying problem payers, negotiating rates (as needed), and securing required signatures.
Oversees and ensures the accuracy of Single Case Agreements meets authorization and claims requirements.
Collaborate with Provider Relations Manager, Verification of Benefits Manager and Revenue Cycle manager on payment analysis and providing feedback for new patient admissions and or continuation of care.
Present feedback on outcomes and correspondence or lack of correspondence related to Single Case Agreements that present risk on reimbursement outcomes.
Routinely evaluates Insurance Master, Plan Guidelines and non-contracted tools of current processes and make updates as needed based on Single Case Agreement outcomes.
Acquires necessary medical records and documentation from customer charts to communicate via phone, fax or e-mail with other medical facilities, hospitals and insurance carriers.
Follows all regulatory policies and procedures, privacy and security standards in accordance with government agencies to include HIPAA requirements.
Performs other duties as assigned by superiors
Required Qualifications
High School Diploma or GED required
Three to Five (3-5) years’ experience in insurance benefit verification and/or collections and/or managed care contracting.
Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
Understand the process for verification of benefits and collections as it relates to the policies and procedures for effective placement of customers and reimbursement.
Complete Understanding of Medicare Rules and Regulations
Advanced MS Office experience, with an emphasis on MS Excel desired
Continued Self Improvement courses & seminars related to position along with “In House” programs provided by Acelis Connected Health/Abbott.
Preferred Qualifications
Associate’s Degree is preferred
Knowledge in Managed Care
Knowledge in Contracting and Fee Schedules
Strong Computer/Software Skills
Physical Requirements
Must be able to work at a computer workstation for extended periods of time
No lifting over 10 pounds required without assistance
* Participants who complete a short wellness assessment qualify for FREE coverage in our HIP PPO medical plan. Free coverage applies in the next calendar year.
Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:

www.abbottbenefits.com
Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.
Connect with us at www.abbott.com , on Facebook at

www.facebook.com/Abbott

and on Twitter @AbbottNews and @AbbottGlobal.
The base pay for this position is
$16.55 – $33.15/hour

In specific locations, the pay range may vary from the range posted.
JOB FAMILY:

Customer Service

DIVISION:

HF Heart Failure

LOCATION:

United States > Orlando : 30 S. Keller Road

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Not specified

MEDICAL SURVEILLANCE:

Not Applicable

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)Abbott is an Equal Opportunity Employer of

Minorities/Women/Individuals

with

Disabilities/Protected

Veterans.EEO is the Law link - English:

http://webstorage.abbott.com/common/External/EEO_English.pdf EEO is the Law link - Espanol:

http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

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Abbott

is about the power of health. For more than 135 years,

Abbott

has been helping people reach their potential — because better health allows people and communities to achieve more. With a diverse, global network serving customers in more than 160 countries, we create new solutions — across the spectrum of health, around the world, for all stages of life. Whether it’s next-generation diagnostics, life-changing devices, science-based nutrition, or novel reformulations, we are advancing some of the most innovative and revolutionary technologies in healthcare, helping people live their best lives through better health.
The people of

Abbott

come to work each day with relentless energy, enthusiasm and a promise to enhance the health and well-being of millions of people. They push the boundaries to help manage and treat some of life’s greatest health challenges.
We invite you to explore opportunities at

Abbott

, to see if your talents and career aspirations may fit with our openings. An equal opportunity employer,

Abbott

welcomes and encourages diversity in our workforce.

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