Patient Therapy Access Specialist

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.  

• 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 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. 
   

For years, Abbott’s medical device businesses have offered technologies that are faster, more effective, and less invasive. Whether it’s 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 10,000 people have healthier hearts, improve quality of life for thousands of people living with chronic pain and movement disorders, and liberate more than 500,000 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 You’ll 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, equipment 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 carrier’s utilization review department to obtain appropriate authorizations.  

• Assist with appeals processes as and when necessary.  

Required Qualifications 

• Associate's degree (± 13 years), In Nursing/Home Health (LVN/LPN) or related field required, or an equivalent combination of education and work experience 

• General knowledge of private insurance, Worker’s 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.   

Preferred Qualifications 

• Knowledge of private insurance, Worker’s 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