Title: Customer Service III
Location: Orlando, Florida
Duration: 4+ Months
Experience:
1+ years knowledge of VA, Workers Comp, PA Appeals is a must
Skills:
Understanding of Medicare rules and regulations; understanding of managed care as it relates to benefits and authorizations; advanced MS Office experience; strong verbal and written communication skills.
Education:
Minimum HS diploma or GED equivalent
Duties:
- Contacts insurance companies to verify insurance benefits
- Initiates pre-authorization requests for new and ongoing services with insurance companies and performs follow up activities for an outcome
- Files Appeals for denied coverage to insurance companies as needed
- Maintains customer records in practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance company
- Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification, authorization, appeals and outcomes for services of care; provides customers with information that includes but is not limited to: updates on status of authorizations, developing and communicating patient financial responsibility estimates, and collecting co-pays, if applicable
- Applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes; performs other related duties as assigned.
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, nutritional and branded generic medicines.
Working together, Abbott and Talent Solutions partner to deliver top talent for contingent roles at Abbott, building better and healthier lives. Abbott believes all employees are essential to creating life-changing breakthroughs, performing key duties to create life-changing breakthroughs.