Patient Therapy Access Specialist

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare with leading businesses and products in diagnostics medical devices nutritionals and branded generic medicines. Our 114000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION :

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare with leading businesses and products in diagnostics medical devices nutritionals and branded generic medicines. Our 114000 colleagues serve people in more than 160 countries.

Working at Abbott

At Abbott you can do work that matters grow and learn care for yourself and family be your true self and live a full life. Youll also have access to :

Career development with an international company where you can grow the career you dream of.

Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.

An excellent retirement savings plan with high employer contribution Tuition reimbursement the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelors degree.

A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.

A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity working mothers female executives and scientists.

For years Abbotts medical device businesses have offered technologies that are faster more effective and less invasive. Whether its glucose monitoring system innovative therapies for treating heart disease or products that help people with chronic pain or movement disorders our medical device technologies are designed to help people live their lives better and healthier. Every day our technologies help more than 10000 people have healthier hearts improve quality of life for thousands of people living with chronic pain and movement disorders and liberate more than 500000 people with diabetes from routine fingersticks .

The Opportunity

Our location in Plano TX currently has an opportunity for a Patient Therapy Access Specialist (PTA). This is an in office 5 days a week position. Preferred hours 8am to 5pm . As a PTA Specialist you are responsible for facilitating and assisting 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.

What Youll Work On

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 e quipment 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 carriers utilization review department to obtain appropriate authorizations .

Assist with appeals processes as and when necessary.

Required Qualifications

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

General knowledge of private insurance Workers 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 ; verbal and written.

Previous experience in public speaking or presenting to small groups.

Attention to detail .

Ability to travel 5% of the time.

Excellent organization skills and ability to multi-task in a fast-paced environment.

Minimum 2 years In a utilization (medical approval) environment or similar work experience.

Preferred Qualifications

Knowledge of private insurance Workers Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review .

Experience in medical device or DME Billing a plus

Proficient with Microsoft Office (Word & Excel specifically)

Medical billing software experience a plus

Knowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding)

Knowledge of medical terminology

Ability to accurately meet required time frames / deadlines

Ability to work as a team player and share workloads with other team members

Excellent verbal and written communication skills

Ability to train / present concepts to others

Proficient in navigating and utilizing various insurance payor portals (e.g. Aetna Cigna UnitedHealthcare Blue Cross Blue Shield)

Efficiently submits and manages precertification and prior authorization requests

Understands payer-specific requirements and documentation standards

Tracks and follows up on pending authorizations to ensure timely approvals

Able to troubleshoot portal issues and escalate when necessary

The base pay for this position is $20.05 $40.15 per specific locations the pay range may vary from the range posted.

The base pay for this position is

$20.05 $40.15 / hour

In specific locations the pay range may vary from the range posted.

JOB FAMILY :

Clinical Affairs / Statistics

DIVISION : MD Medical Devices

LOCATION : United States >

Texas >

Plano : 6600 Pinecrest

ADDITIONAL LOCATIONS :

WORK SHIFT :

Standard

TRAVEL : No

MEDICAL SURVEILLANCE :

No

SIGNIFICANT WORK ACTIVITIES :

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day) Keyboard use (greater or equal to 50% of the workday)

Abbott is an Equal Opportunity Employer of Minorities / Women / Individuals with Disabilities / Protected Veterans.

EEO is the Law link - English :

EEO is the Law link - Espanol : Experience :

IC

Key Skills

Active Directory,Identity & Access Management,LDAP,SAFe,Assistive Technologies,Authentication,Pediatrics Experience,NVDA,Sailpoint,SSH,SSO,Oracle

Employment Type : Full-Time

Experience : years

Vacancy : 1

Hourly Salary Salary : 20 - 40