AbbVie Inc

Specialist, Insurance II


PayCompetitive
LocationVirtual Office/Illinois
Employment typeFull-Time

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.