Patient Therapy Access Specialist job opportunity at Abbott.

Home Jobs In United States Of America Tag: Job Patient Therapy Access Specialist position at Abbott


DatePosted 8 Days Ago bot
Abbott Patient Therapy Access Specialist
Experience: 3-years
Pattern: full-time
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degreeAssociate
loacation United States - Texas - Plano, United States Of America
loacation United States ..........United States Of America

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 115,000 colleagues serve people in more than 160 countries.       JOB DESCRIPTION: Patient Therapy Access: Patient Therapy Access Specialist Grade 06 : Hourly Position Our location in Plano, TX currently has an opportunity for a Patient Therapy Access Specialist (PTA). As a PTA Specialist you are responsible for facilitating and assisting Abbott patients with the pre-certification, pre-determination and authorization process necessary as a prerequisite to perform various procedures or forms of therapy based on physician recommendation. WHAT YOU’LL DO  Assist with multiple levels of appeal in the event of initial coverage denial. Forward authorized confirmation for procedure to designated patient provider.  In addition, this position will provide in-servicing to new patient providers surrounding the pre-authorization process. Responsible for managing multiple cases simultaneously within specific time frames Follow all policies and procedures related to performing the job role adhering to all data use, storage and privacy policies as outlined by Abbott Verify benefits, complete authorization requests promptly Timely follow up for requested authorizations For each procedure, audit required clinical documents for completeness and accuracy Obtain authorization for the facility, equipment and physician to perform various procedures from the insurance carrier Work with key provider contacts to obtain required clinical information for authorizations Work with respective carrier’s utilization review department to obtain appropriate authorizations Work within established guidelines when necessary to process appeal for denied requests Train patients and their designated providers on pre-authorization processes and requirements, in person or by phone Work individually and in a team environment to educate assigned Field Territory Managers and Clinical Specialists Required   Qualifications   High School Diploma / GED an equivalent combination of education and work experience   Minimum 3 years,   In fast paced data entry and administrative role.     General knowledge of private insurance, Worker’s Compensation and Medicare guidelines   pertaining to   Prospective and Retrospective Utilization Review.     Some experience in medical   device   or DME Billing   a plus .     Proficient with Microsoft Office (Word &   Excel specifically ).     Some knowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding).     Ability to accurately meet required time frames/deadlines.     Ability to work as a team player and share workloads with other team members.     Excellent communication skills; verbal and written.     Previous experience in public speaking or presenting to small groups.     Attention to detail.     Ability to travel 5% of the time.     Excellent organization skills and ability to multi-task in a fast-paced environment.   Minimum 2 years, In a   utilization   (medical approval) environment or similar work experience.     Preferred   Qualifications   Associate’s Degree   Preferred     Kno wledge of private insurance, Worker’s Compensation and Medicare guide lines   pertain ing to   Prospective and Retrospective Utilization Review.   Experience in medical device or DME Billing a plus   Proficient with Microsoft Office (Word & Excel specifically)   Medical billing software experience a plus   Knowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding)   Knowledge of medical terminology     Ability to accurately meet required time frames/deadlines   Ability to work as a team player and share workloads with other team members   Excellent verbal and written communication skills   Ability to train/present concepts to others   Proficient in navigating and   utilizing   various insurance payor portals   (e.g., Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield)   Efficiently   submits   and manages precertification and prior authorization requests   Understands payer-specific requirements and documentation standards   Tracks and follows up on pending authorizations to ensure   timely   approvals   Able to troubleshoot portal issues and escalate when necessary           The base pay for this position is $20.50 – $41.00/hour In specific locations, the pay range may vary from the range posted.       JOB FAMILY: Medical & Scientific Affairs       DIVISION: MD Medical Devices          LOCATION: United States > Texas > Plano : 6600 Pinecrest       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: 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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