Payment Administration & Review Manager

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 114,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

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. You'll also have access to:

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

• Free medical coverage for employees* via the Health Investment Plan (HIP) PPO

• 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 bachelor's 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.

The Opportunity

This position works out of our Livermore, CA location in the Heart Failure Division.

As the Payment Administration & Review Manager you will lead and manage the company's healthcare payments received, review and administer the follow-up action in terms of coordinating with Insurances / patients / other parties as necessary across Diagnostic and DME verticals. Additionally, you will be responsible for recruiting, training, developing, and managing inhouse teams.

What You'll Work On

• Analyze EOBs and post manual payments
• Identify payers with payment posting issues
• Accurately correct payment posting errors by reviewing credits
• Investigate payment issues while addressing outstanding payment discrepancies and denials to expedite resolution
• Document all payment-related activities and communications thoroughly and accurately.
• Lead and close internal quality reviews and projects
• Respond to Insurance specific Additional document requests or other documentation as needed
• Maintain payor review trending analytics and report to the management
• Extend process improvement feedback and training to the internal Revenue Cycle team
• Perform other duties as assigned.

Required Qualifications

• Bachelor's Degree in Health Care administration, Finance/Accounting or related field
• 13 years experience in Revenue Cycle Management
• Knowledge of Accounting & Finance with Microsoft Excel , Power point for reporting
• 2+ years experience with revenue cycle management and billing for commercial and Medicaid plans with payment posting
• Strong attention to detail and accuracy
• Excellent communication and problem-solving skills
• Ability to manage multiple tasks and prioritize effectively
• Experience working with all commercial and government payor portals
• Knowledge of the denials, and corrections
• This role requires strong organizational skills and the ability to handle sensitive information with confidentiality.

Preferred Qualifications

• MBA, CPA, CMA preferred, but not required

Apply Now

* Participants who complete a short wellness assessment qualify for FREE coverage in our HIP PPO medical plan. Free coverage applies in the next calendar year.

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews.

The base pay for this position is
$112,000.00 - $224,000.00
In specific locations, the pay range may vary from the range posted.

JOB FAMILY:
Accounting & Reporting

DIVISION:
HF Heart Failure

LOCATION:
United States > Livermore : 6465 National Drive

ADDITIONAL LOCATIONS:

WORK SHIFT:
Standard

TRAVEL:
Not specified

MEDICAL SURVEILLANCE:
Not Applicable

SIGNIFICANT WORK ACTIVITIES:
Awkward/forceful/repetitive (arms above shoulder, bent wrists), 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: http://webstorage.abbott.com/common/External/EEO_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf