AbbVie Inc
Specialist, Insurance II
This job is now closed
Job Description
- Req#: R00080338
Advantages of working at employer: Join a team of experts in the healthcare industry and make a difference in patients' lives. Enjoy a dynamic work environment that encourages growth and development, with opportunities for advancement and competitive benefits.
Job Responsibilities:
- Provide subject matter expertise on claim billing, insurance coverage/verification, prior authorization and appeal filing, and limited financial assistance opportunities
- Communicate with insurance payors and providers to investigate pharmacy and medical benefits
- Perform QA on benefit verifications and review for reasonableness
- Utilize appropriate web tools to assess and determine patient eligibility and insurance benefits
- Assist offices through the entire document/information filing process for prior authorizations and appeals
Requirements:
- High school diploma or GED equivalent required
- Associate Degree preferred
- Meet applicable Pharmacy Technician licensure and certification requirements within 15 days of employment start date
- 2+ years of relevant experience in a healthcare reimbursement and billing setting
- Knowledge of commercial and major medical insurance programs, billing requirements, healthcare benefit investigation processes, prior authorization and appeal filings
- Accuracy, attention to detail, and fluency in the use of computers
- Excellent verbal and written communication skills required
Additional Information: employer is an equal opportunity employer including disability/vets. We will take affirmative action to employ and advance in employment qualified minorities, women, individuals with a disability, disabled veterans, recently separated veterans, Armed Forces service medal veterans or active-duty wartime or campaign badge veterans. The Affirmative Action Plan is available for viewing in the Human Resources office during regular business hours.About the company
AbbVie is an American publicly traded biopharmaceutical company founded in 2013.
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