Insurance Data Management, Specialist III

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

Insurance Data Management, Specialist III

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.
• Free medical coverage for employees* via the Health Investment Plan (HIP) PPO
• 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 Livermore, CA 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 Medical Collector, you’ll have the chance to:

• Serve as the liaison between insurance companies, patients and the departments; 

• Ensure claims are processed and followed up to meet company goals of account receivable days, aging account percentages and cash goals; 

• Research and answer all questions and complaints, regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism.  

What You’ll Work On

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. 

Collector Level III   

• Research and resolve payment discrepancies.  

• Review and manage the AR aging report and provide explanations of past due balances to management. 

• Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial. 

• Identify issues or trends with accounts and provide suggestions for resolutions. 

• Escalate exhausted appeals efforts for resolution with payer.  

• Performs assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor. 

• Able to submit a root cause analysis report. 

• Prepare write off requests as needed for any uncollectable balances. 

• Keeps supervisor informed of areas of concern and problems identified.  

• Provide training to new and existing staff members as instructed by supervisor. Use and follow company procedures in training. Quality check work to ensure accuracy, efficiency and uniformity. Re-train staff as often as needed. 

• Ensure staff complete all assigned tasks in a timely manner and that they have the resources and tools to perform their jobs. i.e. access to software. Advise supervisor immediately if they do not. 

• Review/knowledge of contracts to determine correct reimbursement for each account. 

• Analyze and document A/R problems and implement processes to enhance efficiencies. 

• Documenting accurate and appropriate notes on corresponding systems as needed. 

• Outgoing correspondence (internal or external) must be w