Patient Therapy Access Specialist

Abbott

Plano, Texas, United States
Base: $20.50 – $41.00ph; bonus/equity: not specifi...
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Assist with multiple levels of appeal for coverage denial
Verify benefits and complete authorization requests promptly
Audit clinical documents for completeness and accuracy
** Abbott is seeking a Patient Therapy Access Specialist in Plano, Texas, responsible for assisting patients with the pre-certification and authorization processes for medical procedures. The ideal candidate should have relevant experience in utilization review and strong communication skills. **

Job Summary

  • The Patient Therapy Access Specialist is responsible for facilitating and assisting Abbott patients with the pre-certification, pre-determination, and authorization process necessary for various procedures.
  • This role requires managing multiple cases simultaneously while adhering to strict time frames and ensuring all data use, storage, and privacy policies are followed.
  • The position involves working with key provider contacts and carrier utilization review departments to obtain appropriate authorizations for facilities, equipment, and physicians.

Matching Summary

Match Score: 75

** Abbott is seeking a Patient Therapy Access Specialist in Plano, Texas, responsible for assisting patients with the pre-certification and authorization processes for medical procedures. The ideal candidate should have relevant experience in utilization review and strong communication skills. **

Salary

Base: $20.50 – $41.00/hour; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Assist with multiple levels of appeal for coverage denial
  • Verify benefits and complete authorization requests promptly
  • Audit clinical documents for completeness and accuracy
  • Work within established guidelines to process denied requests
  • Train patients and providers on pre-authorization processes

Nice-to-have

  • Ability to travel 5% of the time
  • Excellent organization skills in fast-paced environment
  • Experience in medical device or DME Billing
  • Proficient in navigating various insurance payor portals
  • Ability to troubleshoot portal issues and escalate

Key Requirements

  • Associates Degree (± 13 years) in Nursing/Home Health or related field
  • Minimum 2 years experience in utilization or medical approval environment
  • General knowledge of private insurance, Worker's Compensation, and Medicare guidelines
  • Proficiency with Microsoft Office Word & Excel
  • Knowledge of current CPT codes and familiarity with ICD-10CM

Work Rights

Not specified

Tailored Resume

Cover Letter