Patient Therapy Access Specialist at Abbott

Plano, Texas, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical DevicesIndustries

Requirements

Associates Degree (± 13 years) in Nursing/Home Health (LVN/LPN) or related field required or an equivalent combination of education and work experience
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

Responsibilities

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
Assist with appeals processes as and when necessary
Facilitate and assist 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

Skills

Key technologies and capabilities for this role

Patient AccessTherapy CoordinationHealthcare AdministrationCustomer ServiceMedical Device Support

Questions & Answers

Common questions about this position

What benefits does Abbott offer?

Abbott provides free medical coverage through the Health Investment Plan (HIP) PPO medical plan, an excellent retirement savings plan with high employer contribution, tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit for earning a bachelor’s degree.

Is this position remote or in-office?

This is an in-office position requiring 5 days a week in Plano, TX, with preferred hours from 8am to 5pm.

What are the main responsibilities of this role?

The role involves managing multiple cases simultaneously, verifying benefits, completing authorization requests promptly, following up on authorizations, and auditing clinical documents for completeness and accuracy.

What is Abbott's company culture like?

Abbott emphasizes doing work that matters, personal growth, caring for yourself and family, being your true self, career development in an international company, and is recognized as a great place to work, one of the most admired companies, and best for diversity, working mothers, female executives, and scientists.

What makes a strong candidate for this position?

Strong candidates should have experience facilitating pre-certification, pre-determination, and authorization processes, managing multiple cases within time frames, verifying benefits, auditing clinical documents, and adhering to data privacy policies.

Abbott

Healthcare solutions in diagnostics and devices

About Abbott

Abbott Laboratories focuses on improving health through various medical technologies and health solutions. The company operates in areas such as cardiovascular health, diabetes management, diagnostic testing, nutrition, and neuromodulation for chronic pain and movement disorders. Abbott's products include advanced medical devices and diagnostic tests that help healthcare professionals and patients manage health conditions effectively. For example, their cardiovascular technologies assist in heart health management, while diabetes care products enable accurate glucose monitoring without painful fingersticks. Unlike many competitors, Abbott emphasizes accessibility and affordability in its offerings, aiming to make life-changing technologies available to a broader audience. The company's goal is to positively impact global health and well-being, supported by a commitment to sustainability and a 2030 Sustainability Plan.

Lake Bluff, IllinoisHeadquarters

1888Year Founded

IPOCompany Stage

HealthcareIndustries

10,001+Employees

Risks

Departure of key leader Dr. Adamson may affect Abbott's Heart Failure division.

Integration challenges with Medtronic could impact glucose monitor-insulin pump rollout.

Thermo Fisher's microfluidics expansion may increase competition for Abbott.

Differentiation

Abbott integrates continuous glucose monitoring with automated insulin delivery systems.

Abbott's microfluidic devices streamline diagnostic processes efficiently.

Abbott's neuromodulation products target specific nervous system areas for chronic pain relief.

Upsides

Microfluidic technology offers cost-effective solutions in diagnostics.

Strategic partnerships like Abbott-Medtronic enhance product offerings and market reach.

Significant investments indicate strong market confidence in Abbott's healthcare solutions.

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