Patient Therapy Access Specialist

Abbott

Plano, Texas, United States
Base: $20.50 – $41.00ph; bonus/equity: not specifi...
Not specified (potentially hybrid or in-office based on responsibilities).
Associates degree in nursing or related field
Minimum 2 years utilization review experience
Knowledge of private insurance and medicare guidelines
Abbott is seeking a Patient Therapy Access Specialist in Plano, Texas, who will assist patients with the pre-certification and authorization processes for medical procedures and therapies. The ideal candidate should have relevant experience in medical utilization environments, strong organizational and communication skills, and a background in healthcare

Job Summary

  • The Patient Therapy Access Specialist is responsible for facilitating pre-certification, pre-determination, and authorization processes for Abbott patients.
  • This role requires managing multiple cases simultaneously while adhering to strict time frames and privacy policies.
  • Candidates must assist with appeal levels for coverage denials and provide in-servicing to new patient providers regarding the pre-authorization process.

Matching Summary

Match Score: 75

Abbott is seeking a Patient Therapy Access Specialist in Plano, Texas, who will assist patients with the pre-certification and authorization processes for medical procedures and therapies. The ideal candidate should have relevant experience in medical utilization environments, strong organizational and communication skills, and a background in healthcare.

Salary

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

Skills & Requirements

Must-have

  • Associates Degree in Nursing or related field
  • Minimum 2 years utilization review experience
  • Knowledge of private insurance and Medicare guidelines
  • Proficiency with Microsoft Office Word and Excel
  • Familiarity with CPT codes and ICD-10CM diagnosis coding

Nice-to-have

  • Experience in medical device or DME billing
  • Medical billing software experience
  • Ability to train patients and providers
  • Proficient in navigating insurance payor portals
  • Strong verbal and written communication skills

Key Requirements

  • Associates Degree (± 13 years) in Nursing/Home Health or equivalent
  • Minimum 2 years in a utilization environment
  • General knowledge of Worker's Compensation and Medicare guidelines

Work Rights

Not specified

Tailored Resume

Cover Letter