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Medical Billing Subject Matter Expert II

Abbott
United Statesfull_timeVerifiedPosted 10 Feb 2025
💰 $82,400/yr($41,200/yr$82,400/yr)

About the role

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:

Job Title

Medical Billing Subject Matter Expert II

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 that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

This position works onsite at our Orlando, FL 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. 

What You’ll Work On

  • Review billing data for accuracy, including verifying correct service charges, customer details, pricing, and coding.
  • Ensure any billing process inquiries are handled quickly and efficiently.
  • Investigate and resolve billing discrepancies utilizing payor agreements and contracts.
  • Ensure compliance with relevant billing regulations and company policies.
  • Review weekly and monthly key metrics to identify trends or areas of focus.
  • Conduct quality assurance reviews of work output and provide feedback to teammates and management; offer suggestions for improvement and optimization.
  • Manage and lead multiple projects, meet deadlines, and adjust priorities appropriately in a high paced work environment.
  • Assist in development, enhancement, and maintenance of billing systems and programs.
  • Work closely with other departments, such as finance and customer service, to coordinate and streamline billing procedures.
  • Provide instruction, training, and technical guidance to staff on billing related computer software programs.
  • Collaborate with other departments to ensure billing and system accuracy.
  • Assist with month-end closing processes.
  • Other duties and responsibilities as assigned including but not limited to:
    • Consistent, regular, and punctual attendance as scheduled.
    • Overtime may be required to ensure timely completion of tasks and required duties.
    • Attend team meetings, phone conferences, and training as needed.
  • Know, understand, and follow department or company procedures.

Required Qualifications

  • Requires a High School Diploma or equivalent.
  • Years of Experience: 3-5 years
  • Proficiency in medical terminology, healthcare billing codes (CPT, HCPCS, ICD) and payer policies.
  • Understanding of regulatory compliance and insurance reimbursement processes is essential.
  • Previous experience in healthcare billing and claims processing particularly in durable medical device (DME) is highly valued.
  • Must have the ability to work independently with minimal supervision.
  • Must be able to maintain a professional and confidential working environment.
  • Strong written and verbal communication skills.

Preferred Qualifications

  • Medical or coding degree or diploma preferred.
  • Previous RCM audit experience is a plus.

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