Revenue Cycle Coverage and Claims Associate II

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 122,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and your 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.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• An excellent retirement savings plan with a 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 worldwide and named one of the most admired companies in the world by Fortune.
• A company recognized as one of the best big companies to work for, as well as one of the best places to work for diversity, working mothers, female executives, and scientists.

The Opportunity

This position works within the Abbott Cancer Diagnostics business.

We're empowering smarter medical and economic decision-making to help transform the way people manage their health at all stages of life. Every day, diagnostic solutions help clinicians and care teams make informed decisions for patients across a broad range of health conditions, including cancer.

As a Revenue Cycle Coverage and Claims Associate II, you'll support accurate and timely insurance reimbursement by independently resolving complex eligibility, claim, denial, and payment issues. You'll use Epic, payer portals, clearinghouse tools, and other systems to manage escalations, maintain accurate account information, and help move claims toward resolution. Working hours are Monday through Friday, 8:00 a.m.-5:00 p.m. CST.

What You'll Work On

• Independently verify patient insurance eligibility and coverage, research discrepancies, and update demographics, financial information, and guarantor details.
• Review, edit, and submit claims and appeals; correct rejected claims from claim scrubbers, clearinghouses, or payers; and provide supporting documentation as needed.
• Analyze denials, underpayments, unpaid aging claims, and reimbursement issues using federal, state, payer, and internal guidelines to determine appropriate next steps.
• Manage complex claim escalations, bulk projects, claim edit and follow-up work queues, CRM support, and workflow validation related to new products or process changes.
• Document actions accurately, maintain HIPAA confidentiality, meet quality and turnaround standards, and partner with internal teams and payers to drive timely claim resolution.

Required Qualifications

• High School Diploma or General Education Degree (GED).
• One (1) or more years of experience in a revenue cycle role and three (3) or more years of experience in medical billing, claims, and/or insurance processing.
• Extensive and current knowledge of government, managed care, and commercial insurance claim submission requirements, reimbursement guidelines, and denial reason codes.
• Knowledge of medical terminology, health insurance terminology, and electronic health record (EHR) systems.
• Proficiency with computer systems and keyboarding, with strong attention to detail, organization, problem-solving, and quality output.
• Ability to work independently and collaboratively in a changing environment while communicating professionally with payers, clients, and internal teams.
• Ability to work Monday through Friday during normal business hours aligned to 8:00 a.m.-5:00 p.m. CST
• Authorization to work in the United States without sponsorship.

Preferred Qualifications

• Related Associate's degree or medical billing certification.
• Five (5) or more years of experience in the medical or insurance billing field.
• Experience with Epic or another electronic health record (EHR) application.

The base pay for this position is

$17.00 – $34.00/hour

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

JOB FAMILY:

Accounts Payable & Receivables, Credit & Collection, & Payroll

DIVISION:

ONCO Cancer Diagnostics

LOCATION:

United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

No

MEDICAL SURVEILLANCE:

No

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: is the Law link - Espanol:

Originally posted on Himalayas